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Individual

ELIZABETH GITIATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4151 MEMORIAL DR, SUITE 110-C, DECATUR, GA 30032-1504
(404) 974-4820
Mailing address
4151 MEMORIAL DR, SUITE 110-C, DECATUR, GA 30032-1504
(404) 974-4820

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
06/25/2015
Last updated
06/25/2015
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