Provider Demographics
NPI:1801089206
Name:ALMON, ELIZABETH BRASS (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:BRASS
Last Name:ALMON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:ELIZABETH
Other - Middle Name:LEA
Other - Last Name:BRASS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:775 POPLAR RD STE 350
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-8304
Mailing Address - Country:US
Mailing Address - Phone:770-502-2150
Mailing Address - Fax:770-502-2103
Practice Address - Street 1:775 POPLAR RD STE 260
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-8303
Practice Address - Country:US
Practice Address - Phone:770-502-2150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA75486208600000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery