Provider Demographics
NPI:1740387919
Name:SCHULTZ, ELIZABETH LOUISE (DO, FACOG)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:LOUISE
Last Name:SCHULTZ
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Gender:F
Credentials:DO, FACOG
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Mailing Address - Street 1:1351 STONEBRIDGE PKWY
Mailing Address - Street 2:#106
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-6037
Mailing Address - Country:US
Mailing Address - Phone:706-769-0720
Mailing Address - Fax:706-769-8754
Practice Address - Street 1:1351 STONEBRIDGE PKWY
Practice Address - Street 2:#106
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-6037
Practice Address - Country:US
Practice Address - Phone:706-769-0720
Practice Address - Fax:706-769-8754
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA32045207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAC02684Medicare UPIN
GA16BDCXZMedicare ID - Type Unspecified