Healthcare Provider Details

I. General information

NPI: 1366133209
Provider Name (Legal Business Name): ELIZABETH ENGLISH ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2023
Last Update Date: 05/19/2023
Certification Date: 05/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 CHURCH ST NE STE 110
MARIETTA GA
30060-1949
US

IV. Provider business mailing address

127 CHURCH ST NE STE 110
MARIETTA GA
30060-1949
US

V. Phone/Fax

Practice location:
  • Phone: 404-786-1414
  • Fax:
Mailing address:
  • Phone: 404-786-1414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: