Individual
ELIJAH COLIN PARADEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
WHNP-BC
Contact information
Practice address
10 DOCTORS ST, METTER, GA 30439-3337
(912) 685-5715
Mailing address
PO BOX 597, METTER, GA 30439-0597
(912) 685-1720
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN267907
GA
363LW0102X
Women's Health Nurse Practitioner
Primary
RN267907
GA
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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