Individual
HELENE PRIVILEGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2765 OLD IVY CT, BUFORD, GA 30519-5198
(770) 203-5031
Mailing address
2765 OLD IVY CT, BUFORD, GA 30519-5198
(770) 203-5031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
001454-PA
PR
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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