Aimee Lynn Eblen in Dacula - Pediatrics

Aimee Lynn Eblen - NPI 1518054279

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
Address 1810 Millside Ter, Dacula, Georgia
Phone Number 7709326612
Fax Number 6783772833
Sole Proprietor N
Credentials P.T.

NPI Number Detail

NPI Number 1518054279
Provider Enumeration Date 2006-10-06
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1810 Millside Ter
City Dacula
State Georgia (GA)
Post Code 300193256
Phone Number 7709326612
Fax Number 6783772833

Provider's Primary Taxonomy Detail

Speciality Pediatrics
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

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FAQs about Aimee Lynn Eblen

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.

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