MEDICARE: MRS. ELIZABETH ANN SILVEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	52821047	OTHER	GA	BCBS PROVIDER NUMBER
2	5197	OTHER	GA	SOUTHCARE PROVIDER NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447341698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH ANN SILVEY

Provider Business Mailing Address
First Line	:	2400 WOODVILLE RD
Second Line	:
City	:	UNION POINT
State	:	GA
Zip	:	30669-1946
Country	:	US
Telephone Number	:	706-486-2250
Fax Number	:	706-486-2250

Provider Business Practice Location Address
First Line	:	2400 WOODVILLE RD
Second Line	:
City	:	UNION POINT
State	:	GA
Zip	:	30669-1946
Country	:	US
Telephone Number	:	706-486-2250
Fax Number	:	706-486-2250

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	07/09/2007

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