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ELISHA A PLAXICO ARNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1992933329

Individual Registrant:
 ELISHA A PLAXICO ARNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
452 SECOND ST  SOPERTON, GA 30457-3004 US
Tel: 912-529-5533  Fax: 912-529-5535

Contact information for business:
452 SECOND ST  SOPERTON, GA 30457-3004 US
Tel: 912-529-5533  Fax: 912-529-5535

Registration Information:
NPI: 1992933329
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GAPENDING

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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