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Contact Information

ERIN ELISEO
3950 AUSTELL RD
AUSTELL, GA30106
 Phone: 706-863-9595
 Fax: 706-868-8375
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ERIN ELISEO · (Female)

NPI Number 1457790107
Status Active
Credentials
Entity Individual
Enumeration date 06/17/2013
Last updated 05/05/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 6848
  • NC License # 0010-05148
Hospital affiliation(s)
  • WELLSTAR COBB HOSPITAL - (Acute Care)
    3950 AUSTELL RD
    AUSTELL, GA 30106
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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