Search › Georgia › 213E00000X
Russell Ellicott, D.P.M
NPI 1720022452 · on the registry since 2006 · sole proprietor
Practice
- Address
- 501 Furys Ferry Rd
Martinez, GA 30907 - Phone
- (706) 738-3298
- Fax
- (706) 364-4290
Registry record
- Primary taxonomy
- 213E00000X
213E00000X
- Also registered as
- 213E00000X
- Licence states on file
- SC, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-02-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia