Elizabeth Jane Andrews, LAT, ATC
Individual provider Active NPI Athletic Trainer · Statesboro, GA
NPI 1669120705 · NPPES record last updated Mar 17, 2022
Key facts
- NPI
- 1669120705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT003847 (GA)
- Practice address
- 1332 Southern Dr
Statesboro, GA 30460-1360 - Phone
- (912) 478-5436
- NPI assigned
- Mar 17, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT003847 | GA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT003847 | GA | Yes |
Addresses
Primary practice location
1332 Southern Dr
Statesboro, GA 30460-1360
Mailing address
3812 Bon Rea Dr
Charlotte, NC 28226-3150
Other providers in Statesboro, GA
- Mae F Anderson
- Mark Anderson
- Vermecia Jelic Anderson
- Teresa A. Andres
- Andrew V Cichelli MD Inc
- Misty L Andrews
- Emily A Andrychowski
- Sarah Anklam
- Ankle and Foot Assoc, LLC
- Applecare LLC
All providers in Statesboro, GA · Athletic Trainer in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.