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Individual

MRS. ADRIENNE C ELSTAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NCCPA

Contact information

Practice address
960 JOHNSON FERRY RD STE 100, ATLANTA, GA 30342-1601
(404) 252-9063
(404) 252-0873
Mailing address
3400 OLD MILTON PKWY # C, STE 290, ALPHARETTA, GA 30005-3707
(770) 667-4337
(770) 667-4338

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
005700
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
749565882E
GA
05
749565882F
GA
05
749565882G
GA
Enumeration date
07/26/2010
Last updated
02/09/2018
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