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Dr. Russell John Ellicott, DPM
Podiatrist in Martinez, Georgia
NPI 1720022452

Russell John Ellicott is a Podiatrist based in Martinez, GA. Russell John Ellicott practices in Martinez, GA and has the professional credentials of DPM. The NPI Number for Russell John Ellicott is 1720022452 and holds a License No. 96 (Georgia).

The current practice location address for Russell John Ellicott is 501 Furys Ferry Rd, Martinez, GA and can be reached out via phone at 706-738-3298 and via fax at 706-364-4290.

Location: 501 Furys Ferry Rd, Martinez, GA, 30907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720022452
Provider Name
Russell John Ellicott
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
501 Furys Ferry Rd, Martinez, GA, 30907
Phone Number
706-738-3298
Fax Number
706-364-4290
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00336124A 05 GA
institution
Provider Business Practice Location Address Details
Address
501 Furys Ferry Rd
City
Martinez
State
Georgia
Zip
30907-9059
Phone Number
706-738-3298
Fax Number
706-364-4290
person
Provider Business Mailing Address Details
Address
501 Furys Ferry Rd
City
Martinez
State
Georgia
Zip
30907-9059
Phone Number
706-738-3298
Fax Number
706-364-4290
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
96 (South Carolina)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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