Carlisle, Jeffrey A

Carlisle, Jeffrey A is an individual health care provider with primary practice located at 3975 Lawrenceville Hwy Nw , Lilburn GA 30047-2817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Carlisle, Jeffrey A can be contacted via phone (770) 923-5000.

Contact Information

Primary practice address
3975 Lawrenceville Hwy Nw Lilburn GA 30047-2817
Phone: (770) 923-5000
Fax: (770) 717-9325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 037164 Georgia

Profile Details

NPI number 1992702450
LBN Legal business name Carlisle, Jeffrey A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Mar 8th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992702450 NPPES
Georgia Other 0479686 AETNA HMO
Georgia Other 0891170 AETNA HMO
Georgia Other 05200 AETNA HMO
Georgia Other 180025244 AETNA HMO
Georgia Other 1078920004 AETNA HMO
Georgia Other 507240 AETNA HMO
Georgia MEDICAID 00587067A AETNA HMO
Georgia Other 9856 AETNA HMO
Georgia Other 4486398 AETNA HMO

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