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Individual

DR. NANCY ELIZABETH BACKUS

Active
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Individual

DR. NANCY ELIZABETH BACKUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
73206
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003166998A
GA
Enumeration date
12/16/2008
Last updated
03/12/2024
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