1417519489 NPI number — MS. LIZ MARIE GLAWSON CADCII

Table of content: MS. LIZ MARIE GLAWSON CADCII (NPI 1417519489)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417519489 NPI number — MS. LIZ MARIE GLAWSON CADCII

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GLAWSON
Provider First Name:
LIZ
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
CADCII
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FIEBIG
Provider Other First Name:
LIZ
Provider Other Middle Name:
GLAWSON
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
CADCII
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1417519489
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/01/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
607 RUSSELL PKWY STE A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WARNER ROBINS
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31088-7690
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
478-225-9860
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
607 RUSSELL PKWY STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WARNER ROBINS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31088-7690
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
478-225-9860
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/01/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  764 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)