person
Eliza Mattson Antonowich, CPNP-PC
Pediatric Nurse Practitioner in Lawrenceville, Georgia
NPI 1639877954

Eliza Mattson Antonowich is a Pediatric Nurse Practitioner based in Peachtree Corners, GA and is specialized in Pediatrics. Eliza Mattson Antonowich practices in Lawrenceville, GA and has the professional credentials of CPNP-PC. The NPI Number for Eliza Mattson Antonowich is 1639877954 and holds a License No. RN318173 (Georgia).

The current practice location address for Eliza Mattson Antonowich is 595 Hurricane Shoals Rd Nw Ste 300, Lawrenceville, GA and can be reached out via phone at 770-995-0823.

Location: 595 Hurricane Shoals Rd Nw Ste 300, Lawrenceville, GA, 30092-1218
person
Provider Profile Details
NPI Number
1639877954
Provider Name
Eliza Mattson Antonowich
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
595 Hurricane Shoals Rd Nw Ste 300, Lawrenceville, GA, 30092-1218
Phone Number
770-995-0823
Fax Number
Provider Enumeration Date
02/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
595 Hurricane Shoals Rd Nw Ste 300
City
State
Zip
30046-8762
Phone Number
770-995-0823
Fax Number
person
Provider Business Mailing Address Details
Address
595 Hurricane Shoals Rd Nw Ste 300
City
State
Zip
30046-8762
Phone Number
770-995-0823
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
RN318173 (Georgia)
Definition
Definition to come...
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