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Individual

ELISABETH W SCHONLAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(318) 675-7109
Mailing address
PO BOX 7337, ATHENS, GA 30604-7337
(318) 354-0552
(706) 543-5744

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
053074
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1189120
LA
05
145300302
TX
Enumeration date
07/29/2006
Last updated
02/22/2010
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