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Individual

MRS. AUDREY BENITA ELEBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
600 LYNN CIR SW, ATLANTA, GA 30311-2315
(678) 789-4265
Mailing address
600 LYNN CIR SW, ATLANTA, GA 30311-2315
(678) 789-4265

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN084827
GA

Other

Enumeration date
05/17/2011
Last updated
05/17/2011
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