Provider Demographics
NPI:1427183243
Name:VERBITSKY, IZABELLA (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:IZABELLA
Middle Name:
Last Name:VERBITSKY
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1459 MONTREAL RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084
Mailing Address - Country:US
Mailing Address - Phone:404-251-2930
Mailing Address - Fax:404-778-6811
Practice Address - Street 1:1459 MONTREAL RD
Practice Address - Street 2:SUITE 304
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084
Practice Address - Country:US
Practice Address - Phone:404-251-2930
Practice Address - Fax:404-778-6811
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA046509207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA11SCFBHMedicare ID - Type UnspecifiedMCARE ID
GAH0383Medicare UPIN