Erin Eliseo
Physician Assistant in Austell, GA. Individual provider (NPI-1).
NPI number1457790107
StatusActive
Last updated in NPPESMay 5, 2022
Details
- NPI
- 1457790107
- Entity type
- Individual (NPI-1)
- Name
- Erin Eliseo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2013
- Certification date
- May 5, 2022
- Last updated
- May 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 6848 | GA | Yes |
| 363A00000X | Physician Assistant | 0010-05148 | NC |
Practice location
3950 Austell RdAustell, GA 30106
Phone 706-863-9595 · Fax 706-868-8375
Mailing address
Po Box 3726Augusta, GA 30914-3726
Phone 706-863-9595 · Fax 706-868-8375
Other practice locations
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All 91 Physician Assistant providers in Austell · All 1,467 providers in Austell
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