Eltarawy, Islam G

Eltarawy, Islam G is an individual health care provider with primary practice located at 97 Hefner St Suite 202, East Ellijay GA 30540-8268. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eltarawy, Islam G can be contacted via phone (706) 635-1400.

Contact Information

Primary practice address
97 Hefner St Suite 202 East Ellijay GA 30540-8268
Phone: (706) 635-1400
Fax: (706) 635-1411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 53261 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 065104 Georgia

Profile Details

NPI number 1588815674
LBN Legal business name Eltarawy, Islam G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2008
Last updated May 16th, 2016 - about 8 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 1588815674 NPPES
Wisconsin Other 2733 TEP

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