Elias Georges Issa MD

NPI 1053305888 - Internal Medicine - 207RP1001X

NPI Details
NPI 1053305888
Gender Male
Enumeration Date 09/08/2005
Last Updated 10/29/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
101 RIVERSTONE VIS
SUITE 207
BLUE RIDGE GA, 30513-6648, US
Phone (706) 964-4210
Fax (706) 964-4251
Business Location
4799 BLUE RIDGE DR
SUITE 104
BLUE RIDGE GA, 30513-3240, US
Phone (706) 946-4210
Fax
Toxanomy
Taxonomy Code 207RP1001X
License State Georgia
License Number 056720
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According to our database, Dr. Elias Georges Issa MD NPI is 1053305888, taxonomy code is 207RP1001X and license number is 056720, license state is located at Georgia. Elias Georges Issa MD physically located at 101 Riverstone Vis, Blue Ridge GA, 30513-6648. NPI Number Elias Georges Issa MD has the Individual type.

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1053305888 NPI number is provided on an as is basis without warranty of any kind. 1053305888 is maintained by the National Plan & Provider Enumeration System. The contents of Elias Georges Issa MD are for informational purposes only.