Individual
MRS. ELIZABETH GAIL BAITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
490 HILLSDALE DR, CHARLOTTESVILLE, VA 22901-5731
(434) 951-4200
(434) 951-4202
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0110007856
VA
363A00000X
Physician Assistant
Primary
0110007856
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA51266
STATE OF CALFIORNIA
CA
Enumeration date
10/10/2011
Last updated
03/31/2023
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