Individual
DANIELLE LEIGH ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
455 S MAIN ST STE 104, HINESVILLE, GA 31313-4354
(912) 369-9400
Mailing address
462 ELMA G MILES PKWY, HINESVILLE, GA 31313-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F10200818
GA
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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