Individual
HANY ELIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3421 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 432-7893
(706) 432-3780
Mailing address
3712 MERION DR, MARTINEZ, GA 30907-9033
(706) 432-7833
(706) 432-3780
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
GA030055
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000606317B
—
GA
Enumeration date
02/08/2006
Last updated
09/14/2012
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