Douglas H Elleby is a Podiatrist in Austell, Georgia. Douglas H Elleby practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Douglas H Elleby is 1871583609. The last update date is 2015-08-12.
Douglas H Elleby's current location address is 3825 Medical Park Dr., Austell, Georgia. You can contact this provider via phone number 7707455101 and fax number 7707459740. The mailing address for Douglas H Elleby is 3825 Medical Park Dr., Austell, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas H Elleby |
|---|---|
| Address | 3825 Medical Park Dr., Austell, Georgia |
| Phone Number | 7707455101 |
| Fax Number | 7707459740 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1871583609 |
|---|---|
| Provider Enumeration Date | 2005-10-24 |
| Last Updated Date | 2015-08-12 |
Provider Mailing Address Detail
| Address | 3825 Medical Park Dr. |
|---|---|
| City | Austell |
| State | Georgia (GA) |
| Post Code | 301066831 |
| Phone Number | 7707455101 |
| Fax Number | 7707459740 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | POD000433 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000138993A | GA | -- | |
| 1756385 | LA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Douglas H Elleby?
The Douglas H Elleby has been issued the NPI (National Provider Identifier) 1871583609 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Douglas H Elleby's facilities are geographically located?
The facilities of Douglas H Elleby are physically situated at the following location: 3825 Medical Park Dr., Austell, GA, 301066831.
What is Douglas H Elleby's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Douglas H Elleby's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871583609 to Douglas H Elleby?
The Centers for Medicare & Medicaid Services originally issued the 1871583609 to Douglas H Elleby on 2005-10-24.
As of what date were the Douglas H Elleby's details last updated?
The information pertaining to the Douglas H Elleby, including its address, specialty, and other details, was most recently updated on 2015-08-12.
NPI Number: 1518960137
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