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Individual

DORIS U ELONU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
4255 WADE GREEN RD NW STE 414, KENNESAW, GA 30144-1763
(678) 213-2194
Mailing address
1291 STANLEY RD NW, KENNESAW, GA 30152-4359
(770) 427-0147

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN255179
GA

Other

Enumeration date
05/10/2018
Last updated
04/23/2022
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