Individual
BEVERLEY ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(620) 923-9478
Mailing address
3065 LEE RD, SNELLVILLE, GA 30039-5505
(470) 519-4106
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN249224
GA
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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