Edward A Porubsky
Facial Plastic Surgeon
340 N Belair Rd
Evans
, Georgia 30809-3000
Edward A Porubsky
Facial Plastic Surgeon
340 N Belair Rd
Evans
, Georgia 30809-3000
(706) 722-2824
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Edward A Porubsky
- 340 N Belair Rd
- Evans, GA
- Zip : 30809-3000
- Fax : (706) 722-2824
- Phone : (706) 868-5676
Second Address
- Edward A Porubsky
- 340 N Belair Rd
- Evans, GA
- Zip : 30809-3000
- Fax : (706) 722-2824
- Phone : (706) 868-5676
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | 053019 | GA |
National Provider Identifier
| NPI | 1043286313 |
|---|---|
| Provider Name | Edward A Porubsky |
| First Address | Evans, GA 30809-3000 |
| Second Address | Evans, GA 30809-3000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2006 |
| Last Update Date | 06/01/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 157315300 | EMPLOYMENT STANDARD WORK (01) | |
| 3285145 | CIGNA (01) | |
| 4305494 | AETNA (01) | |
| 519526707A | (05) | GA |
| 952703 | BLUE CROSS (01) | GA |
| I12259 | (02) | |
| P00177360 | MEDICARE RAILROAD (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.