Provider Demographics
NPI:1083778732
Name:D ELIZABETH ORSBURN MD PLC
Entity Type:Organization
Organization Name:D ELIZABETH ORSBURN MD PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:ORSBURN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-403-3773
Mailing Address - Street 1:PO BOX 215
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TN
Mailing Address - Zip Code:38570-0215
Mailing Address - Country:US
Mailing Address - Phone:931-403-3773
Mailing Address - Fax:931-403-3775
Practice Address - Street 1:406 W 1ST ST
Practice Address - Street 2:SUITE A
Practice Address - City:LIVINGSTON
Practice Address - State:TN
Practice Address - Zip Code:38570-1468
Practice Address - Country:US
Practice Address - Phone:931-403-3773
Practice Address - Fax:931-403-3775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39790208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3730045Medicaid
TN3730045Medicaid