Basic Information
Provider Information
NPI: 1750624599
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GORBE
FirstName: ELIZABETH
MiddleName: BARNETT
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1215 LEE ST
Address2: BOX 800699
City: CHARLOTTESVILLE
State: VA
PostalCode: 229080816
CountryCode: US
TelephoneNumber: 4349248425
FaxNumber: 4349824118
Practice Location
Address1: 1215 LEE ST
Address2: BOX 800699
City: CHARLOTTESVILLE
State: VA
PostalCode: 229080816
CountryCode: US
TelephoneNumber: 4349248425
FaxNumber: 4349824118
Other Information
ProviderEnumerationDate: 03/29/2013
LastUpdateDate: 10/07/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X312310LAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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