ELIZABETH R BACCHUS

TALLASSEE, AL
NPI1578952206
Other NameELIZABETH R BACCHUS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1-114945)
Enumeration Date2015-01-19
Last Update Date2021-01-27
Business Address
ELIZABETH R BACCHUS NP
2256 GILMER AVE
TALLASSEE, AL 36078-7114
Phone number: 334-567-8633
Mailing Address
ELIZABETH R BACCHUS NP
PO BOX 130
WETUMPKA, AL 36092-0003
Phone number: 334-514-3821
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