Elliott, Lydia

Elliott, Lydia is an sole proprietor health care provider with primary practice located at 355 Hawthorne Ln , Athens GA 30606-2153. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Elliott, Lydia can be contacted via phone (706) 369-0019.

Contact Information

Primary practice address
355 Hawthorne Ln Athens GA 30606-2153
Fax: (706) 369-1989
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN294300 Georgia

Profile Details

NPI number 1275916058
LBN Legal business name Elliott, Lydia
Credentials APRN-CNM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2015
Last updated Jul 13th, 2021 - about 4 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 1275916058 NPPES
Georgia Other GRP3569 MEDICARE OPT-OUT
Georgia MEDICAID 300034164A MEDICARE OPT-OUT

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