Individual
ELIANA KOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 CHANTILLY DR NE, SUITE 300, ATLANTA, GA 30324-3267
(404) 785-4688
Mailing address
1605 CHANTILLY DR NE, SUITE 300, ATLANTA, GA 30324-3267
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN228524
GA
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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