Killebrew, Elizabeth W
Killebrew, Elizabeth W is an individual health care provider with primary practice located at 1279 Highway 54 W Suite 220, Fayetteville GA 30214-4552. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Killebrew, Elizabeth W can be contacted via phone (770) 991-2200.Contact Information
Primary practice address
1279 Highway 54 W Suite 220
Fayetteville GA 30214-4552
Phone: (770) 991-2200
Fax: (770) 991-1341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 029898 | Georgia |
Profile Details
| NPI number | 1477565083 |
|---|---|
| LBN Legal business name | Killebrew, Elizabeth W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Oct 25th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477565083 | NPPES |
| Georgia | MEDICAID | 00353394B |
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