Provider Demographics
NPI:1740252428
Name:CHAHINE, ELIZABETH BRITTON (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:BRITTON
Last Name:CHAHINE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:BRITTON
Other - Last Name:WIMBERLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:69 JESSE HILL JR DR SE
Mailing Address - Street 2:4TH FLOOR GLENN BUILDING
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-3031
Mailing Address - Country:US
Mailing Address - Phone:404-727-8600
Mailing Address - Fax:404-521-3589
Practice Address - Street 1:80 JESSE HILL JR DR SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3031
Practice Address - Country:US
Practice Address - Phone:404-727-8600
Practice Address - Fax:404-727-8609
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA042801207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006213324Medicaid
DC033824200Medicaid
MD714405900Medicaid
MD714405900Medicaid