Search › Georgia › 213E00000X
Douglas Elleby, DPM
NPI 1871583609 · on the registry since 2005
Practice
- Address
- 3825 Medical Park Dr.
Ste. 200
Austell, GA 30106 - Phone
- (770) 745-5101
- Fax
- (770) 745-9740
- Organisation at this address
- Amita N Dave, Md Pc
Niranjan J Dave Md Pc
Jasmine Jeffers, Md, Llc
Wellstar Medical Group, Llc
Wellstar Medical Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 213E00000X
213E00000X
- Also registered as
- 213ES0103X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-08-12
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