Individual
ELIZABETH FORDYCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1441 CLIFTON RD NE, ATLANTA, GA 30322-1004
(404) 712-5527
Mailing address
4434 SIMS CT, TUCKER, GA 30084-3111
(770) 908-1526
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005618
GA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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