Individual
DR. ELIAS GEORGES ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 RIVERSTONE VIS, SUITE 207, BLUE RIDGE, GA 30513-6648
(706) 964-4210
(706) 964-4251
Mailing address
4799 BLUE RIDGE DR, SUITE 104, BLUE RIDGE, GA 30513-3240
(706) 946-4210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
056720
GA
207RP1001X
Pulmonary Disease Physician
056720
GA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
056720
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4047230
—
TN
05
—
4047231
—
TN
05
—
5905148
—
NC
05
—
714558090A
—
GA
05
—
714558090B
—
GA
05
—
714558090C
—
GA
05
—
714558090D
—
GA
05
—
714558090G
—
GA
Enumeration date
09/08/2005
Last updated
10/29/2013
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