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1639877954
ELIZA MATTSON ANTONOWICH
LAWRENCEVILLE, GA
NPI
1639877954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA RN318173)
Enumeration Date
2023-02-16
Last Update Date
2023-02-16
Business Address
ELIZA MATTSON ANTONOWICH CPNP-PC
595 HURRICANE SHOALS RD NW STE 300
LAWRENCEVILLE, GA 30046-8762
Phone number: 770-995-0823
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Mailing Address
ELIZA MATTSON ANTONOWICH CPNP-PC
5010 GALLATREE LN
PEACHTREE CORNERS, GA 30092-1218
Phone number: 678-654-0681
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