Individual
ELIZABETH MASON CODDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 793-5000
Mailing address
310 KENNESTONE HOSPITAL BLVD, MARIETTA, GA 30060-1120
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN205586
GA
Other
Enumeration date
07/07/2021
Last updated
09/15/2022
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