Fernandes, Elizabeth

Fernandes, Elizabeth is an individual health care provider with primary practice located at 1502 Highway 16 E , Jackson GA 30233-5202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fernandes, Elizabeth can be contacted via phone (678) 774-0430.

Contact Information

Primary practice address
1502 Highway 16 E Jackson GA 30233-5202
Phone: (678) 774-0430
Fax: (770) 775-3410
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3319 Georgia

Profile Details

NPI number 1316057979
LBN Legal business name Fernandes, Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 5th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316057979 NPPES
Georgia MEDICAID 100002125A
Georgia Other 10033117
Georgia Other 319977

Popular Providers