Dr. Elizabeth a. Street

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

032307 Issued in GA

Legal business name

DR. ELIZABETH A. STREET

Practice address

574 Church St NE
Marietta, GA 30060-1358

Phone

(770) 427-0285

Fax

(678) 564-1033

NPI assigned

Oct 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joan Leskoven

Title

Office Manager

Phone

(770) 427-0285

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1487843751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 CHURCH ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601358",
            "telephone_number": "770-427-0285",
            "fax_number": "678-564-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 CHURCH ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601358",
            "telephone_number": "770-427-0285",
            "fax_number": "678-564-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ELIZABETH A. STREET",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "LESKOVEN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-427-0285"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "032307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.