Ellion Profitt

Prosthetics Case Management · Stone Mountain, GA

Individual Active NPI

NPI number 1366942047

Practice location

5479 Memorial Dr Ste 2
Stone Mountain, GA 30083-3247
Phone
(678) 431-6352

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NPI record

NPI
1366942047
Entity type
Individual (Type 1)
Enumeration date
February 19, 2018
Last updated
February 19, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Prosthetics Case Management Primary 1744P3200X CO101834 GA

Mailing address

3738 Waldrop Creek Ct
Decatur, GA 30034-6723
Phone
(678) 431-6352

About Ellion Profitt

Ellion Profitt is a healthcare provider registered in the NPI registry with the primary taxonomy Prosthetics Case Management (code 1744P3200X). The practice location is 5479 Memorial Dr Ste 2, Stone Mountain, GA 30083-3247. The NPI number 1366942047 was assigned on February 19, 2018 and the record was last updated on February 19, 2018.

Ellion Profitt lists a license in the registry: #CO101834 (GA) for Prosthetics Case Management. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ellion Profitt?

The NPI number is 1366942047.

What is the phone number of Ellion Profitt?

The phone number listed for the practice location is (678) 431-6352.

Where is Ellion Profitt located?

5479 Memorial Dr Ste 2, Stone Mountain, GA 30083-3247.

What is the taxonomy code for Ellion Profitt?

The primary taxonomy code is 1744P3200X – Prosthetics Case Management.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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