Provider Demographics
NPI:1114497039
Name:BARBEE, EMILY ELAINE (CSFA)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ELAINE
Last Name:BARBEE
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 MOHAWK ST STE A
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-1772
Mailing Address - Country:US
Mailing Address - Phone:912-920-2090
Mailing Address - Fax:
Practice Address - Street 1:900 MOHAWK ST STE A
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-1772
Practice Address - Country:US
Practice Address - Phone:912-920-2090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-04
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA186599246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1144228883OtherSPSC NPI
GA1851338131OtherCEPS NPI
GA1851398580OtherPROVIDER NPI