ELSA G ANTONY AA
Nursing Yellow Pages
Atlanta, Georgia
Provider NPI: 1457408767
Provider Information:ELSA G ANTONY AA
Practice Location:
5665 PEACHTREE DUNWOODY RD NE ATLANTA, GA 30342 US
Tel: 404-851-7324 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 367H00000X | Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant | GA | 004627 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
460905230A | GA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin