person
Ellion Profitt
Prosthetics Case Management in Stone Mountain, Georgia
NPI 1366942047

Ellion Profitt is a Prosthetics Case Management based in Decatur, GA and is specialized in Prosthetics Case Management. Ellion Profitt practices in Stone Mountain, GA. The NPI Number for Ellion Profitt is 1366942047 and holds a License No. CO101834 (Georgia).

The current practice location address for Ellion Profitt is 5479 Memorial Dr Ste 2, Stone Mountain, GA and can be reached out via phone at 678-431-6352.

Location: 5479 Memorial Dr Ste 2, Stone Mountain, GA, 30034-6723
person
Provider Profile Details
NPI Number
1366942047
Provider Name
Ellion Profitt
Credential
Provider Entity Type
Individual
Gender
Female
Address
5479 Memorial Dr Ste 2, Stone Mountain, GA, 30034-6723
Phone Number
678-431-6352
Fax Number
Provider Enumeration Date
02/19/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CO101834 01 GA SECRETARY OF STATE
institution
Provider Business Practice Location Address Details
Address
5479 Memorial Dr Ste 2
City
State
Zip
30083-3247
Phone Number
678-431-6352
Fax Number
person
Provider Business Mailing Address Details
Address
5479 Memorial Dr Ste 2
City
State
Zip
30083-3247
Phone Number
678-431-6352
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
CO101834 (Georgia)
Definition
Definition to come...
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