Individual
CYNTHIA LAWRENCE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 PROFESSIONAL DR, SUITE 260, LAWRENCEVILLE, GA 30045-7651
(770) 822-1090
(770) 513-9735
Mailing address
600 PROFESSIONAL DR, SUITE 260, LAWRENCEVILLE, GA 30046-8719
(770) 822-1090
(770) 513-9735
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
025997
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00295611B
—
GA
Enumeration date
05/04/2006
Last updated
02/18/2011
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