Tai, Elizabeth Iju

Tai, Elizabeth Iju is an individual health care provider with primary practice located at 2701 North Decatur Road , Decatur GA 30033. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Tai, Elizabeth Iju can be contacted via phone (404) 501-1849.

Contact Information

Primary practice address
2701 North Decatur Road Decatur GA 30033
Phone: (404) 501-1849
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 047164 Georgia

Profile Details

NPI number 1457395436
LBN Legal business name Tai, Elizabeth Iju
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jun 5th, 2014 - 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 1457395436 NPPES
Georgia MEDICAID 000836954D
Georgia MEDICAID 000836954E

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