Individual
ELIZABETH DUPUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5665 PEACHTREE DUNWOODY RD NE, ATLANTA, GA 30342-1764
(404) 252-1968
(404) 252-4609
Mailing address
PO BOX 720298, ATLANTA, GA 30358-2298
(404) 252-1968
(404) 252-4609
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
025968
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025968
GA LISC
GA
Enumeration date
12/07/2009
Last updated
12/07/2009
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