MEDICARE: DR. ELIGIO QUIROS ABELLERA M.D.

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	172V00000X	Community Health Worker	16008	GA

General Provider Information

NPI Number	:	1104002229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIGIO QUIROS ABELLERA M.D.

Provider Business Mailing Address
First Line	:	827 STRATFORD CT
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30350-4155
Country	:	US
Telephone Number	:	678-395-3422
Fax Number	:

Provider Business Practice Location Address
First Line	:	827 STRATFORD CT
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30350-4155
Country	:	US
Telephone Number	:	678-395-3422
Fax Number	:

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

Provider Enumeration Date	:	01/18/2008
Last Update Date	:	11/30/2015

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