Individual
ELIZABETH ANNE NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 410-6097
Mailing address
4900 THORNWOOD KNL NW, ACWORTH, GA 30102-6946
(770) 815-5994
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN258925
GA
Other
Enumeration date
12/06/2020
Last updated
12/06/2020
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