Aimee Lynn Eblen is a Pediatrics in Dacula, Georgia. Aimee Lynn Eblen practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Aimee Lynn Eblen is 1518054279. The last update date is 2007-07-09.
Aimee Lynn Eblen's current location address is 1810 Millside Ter, Dacula, Georgia. You can contact this provider via phone number 7709326612 and fax number 6783772833. The mailing address for Aimee Lynn Eblen is 1810 Millside Ter, Dacula, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Aimee Lynn Eblen |
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Address | 1810 Millside Ter, Dacula, Georgia |
Phone Number | 7709326612 |
Fax Number | 6783772833 |
Sole Proprietor | N |
Credentials | P.T. |
NPI Number Detail
NPI Number | 1518054279 |
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Provider Enumeration Date | 2006-10-06 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 1810 Millside Ter |
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City | Dacula |
State | Georgia (GA) |
Post Code | 300193256 |
Phone Number | 7709326612 |
Fax Number | 6783772833 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 2251P0200X |
Licence No | PT004663 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
10037612 | GA | AMERIGROUP | |
00731882C | GA | PEACHSTATE HEALTH PLAN | |
00731882C | GA | -- | |
307920 | GA | WELLCARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Aimee Lynn Eblen?
The Aimee Lynn Eblen has been issued the NPI (National Provider Identifier) 1518054279 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Aimee Lynn Eblen?
The Aimee Lynn Eblen is physically situated at 1810 Millside Ter, in the city of Dacula, state of GA, with the postal code 300193256.
What is Aimee Lynn Eblen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Aimee Lynn Eblen is Pediatrics, and the taxonomy code that categorizes this field of expertise is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1518054279 to Aimee Lynn Eblen?
The Centers for Medicare & Medicaid Services assigned the 1518054279 to Aimee Lynn Eblen on 2006-10-06.
When was the information related to Aimee Lynn Eblen most recently updated or refreshed?
The details pertaining to the Aimee Lynn Eblen, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.