Individual
MS. TINA LEE MCELDERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1365 CLIFTON RD NE, 3RD FLR, BLDG A, ATLANTA, GA 30322-1013
(404) 778-5619
Mailing address
321 MICHIGAN AVE, DECATUR, GA 30030-1852
(404) 373-8785
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00973
GA
Other
Enumeration date
11/13/2006
Last updated
10/14/2010
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