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Individual

ELIZABETH THOMAS ADAMIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
804 DIXIE ST, CARROLLTON, GA 30117-4416
(770) 834-0606
(770) 834-1833
Mailing address
804 DIXIE ST, CARROLLTON, GA 30117-4416
(770) 834-0606
(770) 834-1833

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
033015
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00502906A
GA
Enumeration date
11/21/2005
Last updated
07/08/2007
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