Individual provider · Type 1 NPI

Elise M. Hulsebus, PA

Surgical Physician Assistant · Augusta, GA

NPI number 1508174343 Active

Practice location

1120 15th Street, Department Of Surgery
Augusta, GA 30912-0004

Fax (706) 721-1459

Mailing address

1120 15th St Ste BI1056
Augusta, GA 30912-0004

Other practice locations

  • 1430 Harper St, Building B, Augusta, GA 30901-0617 · (706) 724-5451
  • 1430 Harper St, Building B, Augusta, GA 30901-0617 · (706) 724-5451

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1755 (SC)
Surgical Physician Assistant 363AS0400X005910 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1508174343

Elise M. Hulsebus, PA's National Provider Identifier is 1508174343, issued on Sep 15, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Augusta, GA. The record was last updated on Aug 25, 2021.