Individual
MS. TORRA ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-1950
Mailing address
323 WALDEN GLEN LN, EVANS, GA 30809-3130
(404) 918-3670
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3553
GA
363AS0400X
Surgical Physician Assistant
3553
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
951909998F
—
GA
Enumeration date
08/31/2006
Last updated
01/25/2022
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