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Individual

MS. MARIAN D ELDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN,MSN,APRN

Contact information

Practice address
480 JOHN WESLEY DOBBS AVE NE, UNIT 413, ATLANTA, GA 30312-5324
(678) 595-6242
Mailing address
PO BOX 33244, DECATUR, GA 30033-0244
(770) 413-9364

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN155777
GA
163WC0400X
Case Management Registered Nurse
RN155777
GA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN1577
GA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN155777
GA

Other

Enumeration date
07/05/2006
Last updated
07/09/2009
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