Issa, Elias Georges

Issa, Elias Georges is an individual health care provider with primary practice located at 101 Riverstone Vis Suite 207, Blue Ridge GA 30513-6648. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Issa, Elias Georges can be contacted via phone (706) 964-4210.

Contact Information

Primary practice address
101 Riverstone Vis Suite 207 Blue Ridge GA 30513-6648
Phone: (706) 964-4210
Fax: (706) 964-4251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 056720 Georgia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 056720 Georgia
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 056720 Georgia

Profile Details

NPI number 1053305888
LBN Legal business name Issa, Elias Georges
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Oct 29th, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053305888 NPPES
Georgia MEDICAID 714558090B
Georgia MEDICAID 5905148
Georgia MEDICAID 714558090A
Georgia MEDICAID 714558090C
Georgia MEDICAID 714558090D
Georgia MEDICAID 714558090G
Georgia MEDICAID 4047230
Georgia MEDICAID 4047231

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