Susan Elaine Eldred NP

NPI 1770679128 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1770679128
Gender Female
Enumeration Date 10/05/2006
Last Updated 10/30/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE GA, 30046-7694, US
Phone (678) 312-3273
Fax (678) 312-3282
Business Location
PO BOX 116156
ATLANTA GA, 30368-6156, US
Phone (678) 312-5525
Fax (770) 339-2120
Toxanomy
Taxonomy Code 363L00000X
License State Georgia
License Number RN134366
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According to our database, Susan Elaine Eldred NP NPI is 1770679128, taxonomy code is 363L00000X and license number is RN134366, license state is located at Georgia. Susan Elaine Eldred NP physically located at 1000 Medical Center Blvd, Lawrenceville GA, 30046-7694. NPI Number Susan Elaine Eldred NP has the Individual type.

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1770679128 NPI number is provided on an as is basis without warranty of any kind. 1770679128 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Elaine Eldred NP are for informational purposes only.