Active NPIIndividual provider

Erica J Haber, PA-C

Physician Assistant, Medical in Conyers, Georgia

NPI Number1235535865
Practice location
1301 Sigman RD NE Ste 280, Conyers, GA 30012-3947
Fax
—
Last updated
June 10, 2022

Erica Janeen Haber is a Physician Assistant, Medical based in Conyers, GA. Erica Janeen Haber practices in Conyers, GA and has the professional credentials of PA-C. The NPI Number for Erica Janeen Haber is 1235535865 and holds a License No. PA2092 (ME). The current practice location address for Erica Janeen Haber is 1301 Sigman RD NE Ste 280, Conyers, GA 30012-3947 and can be reached out via phone at 678-413-6278.

Provider Profile Details

NPI Number
1235535865
Provider Name
Erica Janeen Haber
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1301 Sigman RD NE Ste 280, Conyers, GA 30012-3947
Phone Number
678-413-6278
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
November 10, 2014
Last Update Date
June 10, 2022
Certification Date
June 10, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1301 Sigman RD NE Ste 280
Conyers, GA 30012-3947
State
Georgia
Zip
30012-3947
Phone Number
678-413-6278
Conyers, GA 30012Get directions →

Provider Business Mailing Address Details

Address
C/O St Marys Health System - Provider Enrollment
Po Box 7291
Lewiston, ME 04243-7291
City
Lewiston
State
ME
Zip
04243-7291
Phone Number
207-777-8950
Fax Number
207-777-8800

License Information

Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
PA2092
License State (2)
ME
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X
License Number (3)
007410
License State (3)
GA
Taxonomy (3)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Erica J Haber, PA-C?

The NPI number of Erica J Haber, PA-C is 1235535865. It was assigned on November 10, 2014 and is currently active in the NPPES registry.

What is the specialty of Erica J Haber, PA-C?

Erica J Haber, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in ME under license number PA2092.

Where does Erica J Haber, PA-C practice?

The practice location is 1301 Sigman RD NE Ste 280, Conyers, GA 30012-3947. The office can be reached at 678-413-6278 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235535865 directly on the NPPES registry website.

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