Individual
ELIZABETH M WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 JOHN WESLEY AVE, COLLEGE PARK, GA 30337-3605
(404) 762-9190
(404) 762-9109
Mailing address
1919 JOHN WESLEY AVE, COLLEGE PARK, GA 30337-3605
(404) 762-9190
(404) 762-9109
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN149591
GA
Other
Enumeration date
06/14/2020
Last updated
06/14/2020
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