Individual
DR. ELIZABETH CATHERINE TULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
835 JACKSON ST, LOCUST GROVE, GA 30248-4137
(770) 898-0028
(770) 898-7987
Mailing address
835 JACKSON ST, LOCUST GROVE, GA 30248-4137
(770) 898-0028
(770) 898-7987
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
GA6332
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
801714
BLUE CROSS BLUE SHIELD
GA
01
—
DOL205152800
DEPARTMENT OF LABOR
GA
Enumeration date
09/16/2006
Last updated
09/30/2011
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