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Elisa Boma Garcia
Neurology Physician in Elizabethtown, Kentucky
NPI 1700831781

Elisa Boma Garcia is a Neurology Physician based in Elizabethtown, KY and is specialized in Neurology. Elisa Boma Garcia practices in Elizabethtown, KY. The NPI Number for Elisa Boma Garcia is 1700831781 and holds a License No. 20007 (Kentucky).

The current practice location address for Elisa Boma Garcia is 1237 Woodland Dr, Elizabethtown, KY and can be reached out via phone at 270-769-6875 and via fax at 270-737-9696.

Location: 1237 Woodland Dr, Elizabethtown, KY, 42701-2709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700831781
Provider Name
Elisa Boma Garcia
Credential
Provider Entity Type
Individual
Gender
Female
Address
1237 Woodland Dr, Elizabethtown, KY, 42701-2709
Phone Number
270-769-6875
Fax Number
270-737-9696
Provider Enumeration Date
05/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000050918 01 ANTHEM BCBS
1050021 01 KY PASSPORT
130012244 01 KY RAILROAD MEDICARE
64200014 05 KY
2432753000 01 KY PASSPORT ADVANTAGE
institution
Provider Business Practice Location Address Details
Address
1237 Woodland Dr
City
Elizabethtown
State
Kentucky
Zip
42701-2709
Phone Number
270-769-6875
Fax Number
270-737-9696
person
Provider Business Mailing Address Details
Address
1237 Woodland Dr
City
Elizabethtown
State
Kentucky
Zip
42701-2709
Phone Number
270-769-6875
Fax Number
270-737-9696
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
20007 (Kentucky)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
20007 (Kentucky)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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