Individual
ELIZABETH SUE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
118957
KS
Other
Enumeration date
06/19/2017
Last updated
07/21/2022
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