Individual
ELISHA A TRIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
400 CHARTER BLVD, MACON, GA 31210-4831
(478) 757-6000
Mailing address
103 TROON WAY, MACON, GA 31210-2910
(478) 361-2195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
PENDING
GA
363LF0000X
Family Nurse Practitioner
RN171306
GA
Other
Enumeration date
06/24/2009
Last updated
10/27/2023
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