Provider Demographics
NPI:1447341698
Name:SILVEY, ELIZABETH ANN
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANN
Last Name:SILVEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 WOODVILLE RD
Mailing Address - Street 2:
Mailing Address - City:UNION POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30669-1946
Mailing Address - Country:US
Mailing Address - Phone:706-486-2250
Mailing Address - Fax:706-486-2250
Practice Address - Street 1:2400 WOODVILLE RD
Practice Address - Street 2:
Practice Address - City:UNION POINT
Practice Address - State:GA
Practice Address - Zip Code:30669-1946
Practice Address - Country:US
Practice Address - Phone:706-486-2250
Practice Address - Fax:706-486-2250
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA52821047OtherBCBS PROVIDER NUMBER
GA5197OtherSOUTHCARE PROVIDER NUMBER
GA00862166AMedicaid
GA5197OtherSOUTHCARE PROVIDER NUMBER