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1326448101
BRIAN ELLIOTT
MOULTRIE, GA
NPI
1326448101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: GA RN109322)
Enumeration Date
2014-08-28
Last Update Date
2016-06-29
Business Address
-- BRIAN ELLIOTT NP-C
3131 S MAIN ST
MOULTRIE, GA 31768-6925
Phone number: 229-890-3514
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Mailing Address
-- BRIAN ELLIOTT NP-C
PO BOX 934
MOULTRIE, GA 31776-0934
Phone number: 229-890-3514
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