Individual
MRS. ELIZABETH K SCHOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 PROFESSIONAL PL, SUITE 204, CARROLLTON, GA 30117-3874
(770) 834-3351
(770) 830-1518
Mailing address
100 PROFESSIONAL PL, SUITE 204, CARROLLTON, GA 30117-3874
(770) 834-3351
(770) 830-1518
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003075
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002343A
—
GA
01
—
970029174
RAIL ROAD MEDICARE
GA
Enumeration date
09/05/2006
Last updated
05/09/2016
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