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1841288503
ELIZABETH A STREET
MARIETTA, GA
NPI
1841288503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: GA 032307)
Enumeration Date
2005-10-07
Last Update Date
2010-11-17
Business Address
-- ELIZABETH A STREET MD
574 CHURCH ST NE
MARIETTA, GA 30060-1358
Phone number: 770-427-0285
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Mailing Address
-- ELIZABETH A STREET MD
574 CHURCH ST NE
MARIETTA, GA 30060-1358
Phone number: 770-427-0285
Copy
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