Georgia D Eltabbakh in South Burlington - Physician Assistant
Georgia D Eltabbakh - NPI 1871589150
Georgia D Eltabbakh is a Physician Assistant in South Burlington, Vermont. Georgia D Eltabbakh practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Georgia D Eltabbakh is 1871589150. The last update date is 2013-06-28.
Georgia D Eltabbakh's current location address is 1060 Hinesburg Rd, South Burlington, Vermont. You can contact this provider via phone number 8028599500 and fax number 8028599944. The mailing address for Georgia D Eltabbakh is 1060 Hinesburg Rd, South Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
Provider Name | Georgia D Eltabbakh |
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Address | 1060 Hinesburg Rd, South Burlington, Vermont |
Phone Number | 8028599500 |
Fax Number | 8028599944 |
Sole Proprietor | N |
Credentials | P.A. |
NPI Number Detail
NPI Number | 1871589150 |
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Provider Enumeration Date | 2005-09-22 |
Last Updated Date | 2013-06-28 |
Provider Mailing Address Detail
Address | 1060 Hinesburg Rd |
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City | South Burlington |
State | Vermont (VT) |
Post Code | 54037612 |
Phone Number | 8028599500 |
Fax Number | 8028599944 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 10999 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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90000398 | VT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Georgia D Eltabbakh by the Centers for Medicare & Medicaid Services?
The Georgia D Eltabbakh has been assigned the NPI (National Provider Identifier) 1871589150 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Georgia D Eltabbakh's facilities are situated?
The facilities of Georgia D Eltabbakh are physically located at the following address: 1060 Hinesburg Rd, South Burlington, VT, 54037612.
What is Georgia D Eltabbakh's specialized field of practice, and what is the corresponding taxonomy classification code?
The Georgia D Eltabbakh's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Georgia D Eltabbakh receive the assignment of its 1871589150 from the Centers for Medicare & Medicaid Services?
The Georgia D Eltabbakh was issued its 1871589150 by the Centers for Medicare & Medicaid Services on 2005-09-22.
As of what date were the details pertaining to Georgia D Eltabbakh last refreshed?
The information related to the Georgia D Eltabbakh, including its address, specialty, and other relevant details, was last updated on 2013-06-28.
NPI Number: 1104829308
Address: 1009 North State Of Franklin Access Road, Johnson City, TN