Raizes, Elliot G

Raizes, Elliot G is an individual health care provider with primary practice located at 1960 Riverside Pkwy Suite 101, Lawrenceville GA 30043-5945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Raizes, Elliot G can be contacted via phone (770) 995-0466.

Contact Information

Primary practice address
1960 Riverside Pkwy Suite 101 Lawrenceville GA 30043-5945
Phone: (770) 995-0466
Fax: (770) 995-0472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 024478 Georgia

Profile Details

NPI number 1912913740
LBN Legal business name Raizes, Elliot G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 23rd, 2012 - about 14 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 1912913740 NPPES
Georgia MEDICAID 309509
Georgia Other 85000553G
Georgia MEDICAID 00344847A
Georgia Other 581958199
Georgia Other 28131
Georgia Other 9202955

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