MRS. ELIZABETH Y FLETCHER (NPI# 1104064278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104064278 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH Y FLETCHER |
| Credential | P.A. |
| Practice Address |
1111 Glynco Pkwy Suite 500 Brunswick GA 31525-7921 |
| Mailing Address |
418 Eh Ct 4b Brunswick GA 31520-2199 |
| Practice Telephone | 9122610080 |
| Practice Fax Number | 9122610206 |
| Mailing Telephone | 9122670884 |
| Mailing Fax Number | 9122677948 |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2015-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
005492 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568666857 | Elizabeth Joy Fletcher | Counselor | 5009 N Penn Ave, Suite 105, Oklahoma City, OK 73112-8887 | 2007-06-12 |
| 1851594758 | Elizabeth A Fletcher | Nurse Practitioner | 3 Cooper Plz, Suite 513, Camden, NJ 08103-1438 | 2007-06-07 |
| 1679608970 | Elizabeth W. Fletcher | Speech-Language Pathologist | 10299 Woodman Rd, Glen Allen, VA 23060-4419 | 2007-02-23 |
| 1437297330 | Elizabeth Gwynne Fletcher | Case Manager/Care Coordinator | Rt 6 Box 540, Gate City, VA 24251 | 2007-02-02 |
| Street Address |
1111 GLYNCO PKWY SUITE 500 |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31525-7921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922089713 | Northwest Diagnostic Imaging, Inc | Radiology | 1111 Glynco Pkwy, Brunswick, GA 31525-7921 | 2005-11-08 |
| 1639562978 | Tattnall Hospital Company, LLC | Orthopaedic Surgery | 1111 Glynco Pkwy, Suite 30 - A Summit Professional Plaza I, Brunswick, GA 31525-7921 | 2015-03-11 |
| 1487047726 | Optim Orthopedics, LLC | Orthopaedic Surgery | 1111 Glynco Pkwy, Suite 30 - A Summit Professional Plaza I, Brunswick, GA 31525-7921 | 2015-03-11 |
| 1376960179 | Joseph Durant | Specialist | 1111 Glynco Pkwy, Ste. 400, Brunswick, GA 31525-7921 | 2014-03-19 |
| 1760815880 | Kendra Curry | Social Worker | 1111 Glynco Pkwy, Bldg 2, Suite 200, Brunswick, GA 31525-7921 | 2013-08-12 |
| 1144575168 | Karah Lynn Brown | Physician Assistant | 1111 Glynco Pkwy, #2-100, Brunswick, GA 31525-7921 | 2012-07-16 |
| 1659643955 | Costrini & Meadows PC | Internal Medicine | 1111 Glynco Pkwy, Suite 410, Brunswick, GA 31525-7921 | 2012-02-01 |
| 1285917401 | Micah Henderson Lancaster | Physician Assistant | 1111 Glynco Pkwy, Building 1, Suite 20, Brunswick, GA 31525-7921 | 2011-09-23 |
| 1114215498 | Florida Bracing Centers, Inc. | Prosthetic/Orthotic Supplier | 1111 Glynco Pkwy, Building 2, Suite 110, Brunswick, GA 31525-7921 | 2011-07-20 |
| 1801105275 | Dublin Vamc | Clinic/Center | 1111 Glynco Pkwy, Summit Professional Plaza, Suite 200, Brunswick, GA 31525-7921 | 2010-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905990 | Jonathon Wesley Capps | Physician Assistant | 1111 Glynco Pkwy Bldg 1, Ste 10, Brunswick, GA 31525 | 2018-06-14 |
| 1366993628 | Hands Down Muscle Restoration, Inc | Homeopath | 1212 Chapel Crossing Road, Brunswick, GA 31525 | 2016-10-20 |
| 1619424173 | Jebediah S Christy Dds - Brunswick Pllc | Dentist | 11455 Canal Crossing, Brunswick, GA 31525 | 2016-09-01 |
| 1831545508 | Heller Family Medicine, LLC | General Practice | 208 Scranton Connector Ste 120, Brunswick, GA 31525 | 2016-05-11 |
| 1437525391 | Natisha Danielle Hill | Occupational Therapy Assistant | 138 Wingefield Commons Drive, Brunswick, GA 31525 | 2015-08-14 |
| 1811269632 | Solar Family Practice | Family Medicine | 122 Scranton Connector, Suite 112, Brunswick, GA 31525 | 2012-02-09 |
| 1700187895 | Chetan Patel | Pharmacist | 12 Woodfall Ct, Brunswick, GA 31525 | 2010-11-05 |
| 1194914275 | Dialysis of Golden Isles, LLC | Clinic/Center | 475 Gateway Center Blvd, Brunswick, GA 31525 | 2007-10-15 |
| 1902939325 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Frazier Street, Brunswick, GA 31525 | 2007-03-14 |
| 1609909498 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 Frazier Road, Brunswick, GA 31525 | 2007-03-13 |
| Find all providers in zip 31525 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144374497 | Jennifer Teeter | Physician Assistant | 610 Ninth Avenue, Brunswick, MD 21716 | 2007-01-23 |
| 1740255389 | Nathaniel David Lewis | Physician Assistant | 145 Royal Dr, Brunswick, GA 31523-6278 | 2006-02-17 |
| 1437795408 | Krysta Hartley | Physician Assistant | 208 Scranton Connector Ste 117, Brunswick, GA 31525-0560 | 2019-11-25 |
| 1598189805 | Southeast Lung & Critical Care Specialists, PC | Physician Assistant | 122 Scranton Connector, Suite #112, Brunswick, GA 31525-0533 | 2014-02-06 |
| 1487967162 | Kristen Casey | Physician Assistant | 329 Maine St Ste A200, Brunswick, ME 04011-3310 | 2010-07-22 |
| 1609002534 | Shannon M Beheler | Physician Assistant | 610 9th Ave, Brunswick, MD 21716-1828 | 2009-06-05 |
| 1215177522 | Laura Rachel Bishop | Physician Assistant | 1111 Glynco Pkwy, Suite 300, Brunswick, GA 31525-7921 | 2009-02-26 |
| 1316051030 | Deborah Lynn Zito | Physician Assistant | 2500 Starling St, Brunswick, GA 31520-4219 | 2006-08-18 |
| 1043225634 | Angela S Latham | Physician Assistant | 2705 Wildwood Dr, Brunswick, GA 31520-4346 | 2006-07-30 |
| 1851342356 | Nancy J Warner | Physician Assistant | 2500 Starling St, Suite 504, Brunswick, GA 31520-4265 | 2006-05-12 |
| Find all providers in BRUNSWICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.