Park, Elizabeth
Park, Elizabeth is an individual health care provider with primary practice located at 3965 Holcomb Bridge Rd Ste 100 , Peachtree Corners GA 30092-2203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Park, Elizabeth can be contacted via phone (770) 450-8677.Contact Information
Primary practice address
3965 Holcomb Bridge Rd Ste 100
Peachtree Corners GA 30092-2203
Phone: (770) 450-8677
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 8222 | Georgia |
Profile Details
| NPI number | 1912431362 |
|---|---|
| LBN Legal business name | Park, Elizabeth |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2017 |
| Last updated | Jan 31st, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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