Individual
ELISABETH A WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5671 PEACHTREE DUNWOODY RD STE 300, ATLANTA, GA 30342-5003
(404) 778-6070
(678) 843-6353
Mailing address
3524 N CLAREMONT AVE FL 1, CHICAGO, IL 60618-6022
(901) 361-3626
(773) 834-7272
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7012
GA
363AM0700X
Medical Physician Assistant
085.003062
IL
363AM0700X
Medical Physician Assistant
1110
TN
Other
Enumeration date
05/05/2006
Last updated
03/15/2019
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