Elliott, Anita

Elliott, Anita is an individual health care provider with primary practice located at 101 Mayo St Suite B, Americus GA 31709-3695. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Elliott, Anita can be contacted via phone (229) 928-8355.

Contact Information

Primary practice address
101 Mayo St Suite B Americus GA 31709-3695
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 198479 Georgia

Profile Details

NPI number 1932510757
LBN Legal business name Elliott, Anita
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2014
Last updated Jan 26th, 2015 - about 10 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 1932510757 NPPES
Georgia MEDICAID 003148065A

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