Individual
ELENA CHRISTINA PRENDERGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
211 BOBBY JONES EXPY STE C, MARTINEZ, GA 30907-5253
(706) 860-3355
Mailing address
211 BOBBY JONES EXPY STE C, MARTINEZ, GA 30907-5253
(706) 860-3355
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN202093
GA
Other
Enumeration date
06/11/2016
Last updated
07/13/2016
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