Dr. Elizabeth A. Street
Obstetrics & Gynecology in Marietta, GA. Organization (NPI-2).
NPI number1487843751
StatusActive
Last updated in NPPESOct 23, 2007
Details
- NPI
- 1487843751
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Elizabeth A. Street
- Organization subpart
- No
- Enumeration date
- Oct 23, 2007
- Last updated
- Oct 23, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 032307 | GA | Yes |
Practice location
574 Church St NeMarietta, GA 30060-1358
Phone 770-427-0285 · Fax 678-564-1033
Mailing address
574 Church St NeMarietta, GA 30060-1358
Phone 770-427-0285 · Fax 678-564-1033
Authorized official
Joan Leskoven
Office Manager
7704270285
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