Elizabeth Anne Berlin, P.A.
Physician Assistant in Lithonia, GA. Individual provider (NPI-1).
NPI number1043579402
StatusActive
Last updated in NPPESFeb 1, 2019
Details
- NPI
- 1043579402
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Anne Berlin
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 4, 2012
- Last updated
- Feb 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 006478 | GA | Yes |
| 363AM0700X | Physician Assistant, Medical | – | – | |
| 363AS0400X | Physician Assistant, Surgical | – | – |
Practice location
8825 Mall ParkwaySuite 150
Lithonia, GA 30038
Phone 770-482-3241
Mailing address
8825 Mall ParkwaySuite 150
Lithonia, GA 30038
Phone 770-482-3241
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