NPI 1003182148

Elizabeth Ikeda

Practitioner Anesthesiologist Assistant Atlanta, GA

Practice location

Address: 1365 Clifton Rd NE, Atlanta, GA 30322
Phone: (404) 778-8311
Mailing address: 1365 Clifton Rd NE, Atlanta, GA 30322-1013

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 006537 (GA)

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Registry record

NPI: 1003182148
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Mar 2012
Record last updated: 15 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.