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
Phone: (706) 369-0019
Fax: (706) 369-1989
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275916058 | NPPES |
Georgia | Other | GRP3569 | MEDICARE OPT-OUT |
Georgia | MEDICAID | 300034164A | MEDICARE OPT-OUT |
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