Provider Demographics
NPI:1477572329
Name:ROONEY, ELIZABETH LOCKERMAN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:LOCKERMAN
Last Name:ROONEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:15 MEDICAL DRIVE NE SUITE 101
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30121
Mailing Address - Country:US
Mailing Address - Phone:770-386-5221
Mailing Address - Fax:770-386-1128
Practice Address - Street 1:15 MEDICAL DRIVE NE SUITE 101
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30121
Practice Address - Country:US
Practice Address - Phone:770-386-5221
Practice Address - Fax:770-386-1128
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002400363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003107289DMedicaid
GA003107289AMedicaid