Provider Demographics
NPI:1619655180
Name:HARWOOD, ELIZABETH DAVIS (PA-C)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:DAVIS
Last Name:HARWOOD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:225 CANDLER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-6093
Mailing Address - Country:US
Mailing Address - Phone:912-819-5758
Mailing Address - Fax:912-691-9297
Practice Address - Street 1:225 CANDLER DR STE 100
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-6093
Practice Address - Country:US
Practice Address - Phone:912-819-5758
Practice Address - Fax:912-691-9297
Is Sole Proprietor?:No
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA11688363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant