Individual
SUSAN ELAINE ELDRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3273
(678) 312-3282
Mailing address
PO BOX 1170, LAWRENCEVILLE, GA 30046-1170
(678) 312-5525
(770) 339-2120
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN134366
GA
Other
Enumeration date
10/05/2006
Last updated
04/13/2020
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