| Elizabeth Park, PA-C | |
|
3965 Holcomb Bridge Rd Ste 100, Peachtree Corners, GA 30092-2203 | |
| (770) 450-8677 | |
| Not Available |
| Full Name | Elizabeth Park |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3965 Holcomb Bridge Rd Ste 100, Peachtree Corners, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912431362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 8222 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Park, PA-C 3965 Holcomb Bridge Rd Ste 100, Peachtree Corners, GA 30092-2203 Ph: (770) 450-8677 | Elizabeth Park, PA-C 3965 Holcomb Bridge Rd Ste 100, Peachtree Corners, GA 30092-2203 Ph: (770) 450-8677 |
Leona Capehart Medlock, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5270 Peachtree Pkwy Ste 107, Peachtree Corners, GA 30092 Phone: 770-416-1070 | |
John Leroy Walker, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3688 Creekstone Dr, Peachtree Corners, GA 30092 Phone: 678-691-6529 Fax: 770-840-7464 | |
Ms. Antoinette Theodore, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5635 Peachtree Pkwy Ste 180, Peachtree Corners, GA 30092 Phone: 470-938-6670 Fax: 678-272-3144 |