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Elizabeth Pepper
General Practice Physician in Fort Gordon, Georgia
NPI 1740864537

Elizabeth Pepper is a General Practice Physician based in Fort Gordon, GA. Elizabeth Pepper practices in Fort Gordon, GA. The NPI Number for Elizabeth Pepper is 1740864537 and holds a License No. (Georgia).

The current practice location address for Elizabeth Pepper is 300 East Hospital Road, Fort Gordon, GA and can be reached out via phone at 706-787-4657.

Location: 300 East Hospital Road, Fort Gordon, GA, 30905-5650
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740864537
Provider Name
Elizabeth Pepper
Credential
Provider Entity Type
Individual
Gender
Female
Address
300 East Hospital Road, Fort Gordon, GA, 30905-5650
Phone Number
706-787-4657
Fax Number
Provider Enumeration Date
05/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 East Hospital Road
City
Fort Gordon
State
Georgia
Zip
30905-5650
Phone Number
706-787-4657
Fax Number
person
Provider Business Mailing Address Details
Address
300 East Hospital Road
City
Fort Gordon
State
Georgia
Zip
30905-5650
Phone Number
706-787-4657
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
2022047675 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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