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1255117735
WANDA DENISE ELAM
AUGUSTA, GA
NPI
1255117735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 259630)
Enumeration Date
2023-08-31
Last Update Date
2023-08-31
Business Address
WANDA DENISE ELAM DNP, APRN, FNP-C
950 15TH ST
AUGUSTA, GA 30901-2608
Phone number: 706-733-0188
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Mailing Address
WANDA DENISE ELAM DNP, APRN, FNP-C
4058 RADFORD GAY RD
HARLEM, GA 30814-4701
Phone number: 706-834-7035
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