Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | RN173796NP | GA |
NPI | 1215152749 |
---|---|
Provider Name | Mrs. Elizabeth F Hunter |
First Address | Lawrenceville, GA 30046-4317 |
Second Address | Lawrenceville, GA 30045 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 14/02/2013 |