Individual
MRS. LISA S ELKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
455 S MAIN ST STE 105, HINESVILLE, GA 31313-4354
(912) 876-0250
Mailing address
455 S MAIN ST STE 105, HINESVILLE, GA 31313-4354
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
053603
GA
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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