Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELAYNE F. THERIAULT, M.D.
Active Sole ProprietorDR. ELAYNE F. THERIAULT, M.D. is a Preventive Medicine healthcare provider located in LILBURN, Georgia. NPI 1588818744 is currently active in the NPPES registry. Verify at CMS.
Preventive Medicine · LILBURN, GA
Registration Details
- NPI Number
- 1588818744
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 13, 2008 (17.772960076732 yrs)
- Last Updated
- Nov 13, 2008
- License
-
028328 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5040 BAINBRIDGE CT SWLILBURN, GA, 300477305Browse GA providers · Browse ZIP 30047
- Phone
- 4042188494
- Fax
- 7709258677
- Primary Specialty
-
Preventive Medicine
2083P0500X
Other Preventive Medicine Providers in LILBURN, GA
| Name | Credential | NPI |
|---|---|---|
| RONALD S LEV | PT | 1669598439 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.