Individual
ELIZABETH K MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3820 MEDICAL PARK DR, AUSTELL, GA 30106
(770) 238-2241
Mailing address
3820 MEDICAL PARK DR, AUSTELL, GA 30106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PEND
GA
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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