Individual
ELISABETH PETTIT BERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
59 EXECUTIVE PARK S, ATLANTA, GA 30329-2208
(404) 778-7000
Mailing address
59 EXECUTIVE PARK S, ATLANTA, GA 30329-2208
(404) 778-7000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN114017
GA
Other
Enumeration date
07/25/2015
Last updated
07/25/2015
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