Individual
ELISABETH AUSTIN UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
(404) 851-8000
Mailing address
417 SAINT CATHERINES CT NW, MARIETTA, GA 30064-1430
(770) 361-7858
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN249617
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
137811
GA
Other
Enumeration date
07/03/2021
Last updated
05/26/2022
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