Individual
ELIZABETH W PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4916 PRINCESS DR, LAKE PARK, GA 31636-3120
(229) 460-4630
Mailing address
3798 BERMUDA RUN DR, VALDOSTA, GA 31605-1060
(229) 460-4630
(229) 245-6561
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001140
GA
Other
Enumeration date
11/05/2006
Last updated
07/08/2007
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