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Individual

ELISA MARJORIE SALGADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
3001 GORDON HWY, GROVETOWN, GA 30813-3808
(706) 855-4700
Mailing address
936 SAWBUCK WAY, EVANS, EVANS, GA 30809
(170) 694-5887

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
174601
GA

Other

Enumeration date
03/04/2021
Last updated
03/04/2021
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