Individual
DR. ELIZABETH TATUM ATHANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME109486
FL
208000000X
Pediatrics Physician
ME1097486
FL
208D00000X
General Practice Physician
ME109486
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003539500
—
FL
Enumeration date
10/02/2008
Last updated
05/26/2015
Update your record
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