Search › Georgia › 2083P0500X
Elayne Theriault, M.D
NPI 1588818744 · on the registry since 2008 · sole proprietor
Practice
- Address
- 5040 Bainbridge Ct Sw
Lilburn, GA 30047 - Phone
- (404) 218-8494
- Fax
- (770) 925-8677
Registry record
- Primary taxonomy
- 2083P0500X
2083P0500X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-11-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia