Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 070415 | GA |
N | 208600000X | Surgeon | 070415 | GA |
N | 208200000X | Surgeon | MD48118 | TN |
N | 208600000X | Surgeon | MD48118 | TN |
N | 2086X0206X | Surgical Oncologist | 070415 | GA |
N | 2086X0206X | Surgical Oncologist | MD48118 | TN |
Y | 2086X0206X | Surgical Oncologist | ME138898 | FL |
NPI | 1154494912 |
---|---|
Provider Name | Elena Teresa Rehl |
First Address | Savannah, GA 31404-6220 |
Second Address | West Palm Beach, FL 33401-3410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 27/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003135909A | (05) | GA |
003135909B | (05) | GA |
GA1516 | (05) | SC |
P01199006 | RAILROAD MEDICARE (01) | GA |