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Individual

ELIZABETH NANI GREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3550 PRESTON RIDGE ROAD, KP ALPHANETTA MEDICAL CENTER, ALPHANETTA, GA 30201
(770) 663-3303
Mailing address
3495 PIEDMONT ROAD NE, NINE PEADMONT CENTER, ATLANTA, GA 30350-1736
(404) 364-7000

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
041434
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000781448W
GA
Enumeration date
06/29/2006
Last updated
07/31/2008
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