Individual
MRS. ELIZABETH SHA DUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
162 E JARMAN ST, HAZLEHURST, GA 31539-6173
(912) 209-0239
Mailing address
1500 1ST AVE N UNIT 3, BIRMINGHAM, AL 35203-1866
(205) 545-5088
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN206810
GA
Other
Enumeration date
04/19/2022
Last updated
05/08/2025
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