Individual
MRS. ELIZABETH ANN CERCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, RN
Contact information
Practice address
3505 DULUTH PARK LN STE 400, MAXA INTERNAL MEDICINE ASSOCIATES, DULUTH, GA 30096-3203
(678) 597-3180
Mailing address
3505 DULUTH PARK LN STE 400, MAXA INTERNAL MEDICINE ASSOCIATES, DULUTH, GA 30096-3203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2727652
FL
163W00000X
Registered Nurse
RN213895
GA
363LF0000X
Family Nurse Practitioner
Primary
RN213895
GA
Other
Enumeration date
01/09/2013
Last updated
08/03/2015
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