RYAN ELLSWORTH, DPM
Podiatrist - Foot Surgery
Active
Individual
NPI: 1104130574
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Podiatrist | 213E00000X | No | POD001473 (GA) |
| Podiatrist - Primary Podiatric Medicine | 213EP1101X | No | 8400193-0501 (UT) |
| Podiatrist - Radiology | 213ER0200X | No | 8400193-0501 (UT) |
| Podiatrist - Sports Medicine | 213ES0000X | No | 8400193-0501 (UT) |
| Podiatrist - Foot & Ankle Surgery | 213ES0103X | No | 8400193-0501 (UT) |
| Podiatrist - Foot Surgery | 213ES0131X | Yes | 8400193-0501 (UT) |
Frequently Asked Questions
NPI 1104130574 is the National Provider Identifier for RYAN ELLSWORTH, DPM, a Podiatrist - Foot Surgery provider located in Atlanta, GA. This NPI was enumerated on July 28, 2010.
RYAN ELLSWORTH, DPM practices at 505 FAIRBURN RD SW STE 100, Atlanta, GA 30331.
Quick Facts
- NPI
- 1104130574
- Type
- Individual
- Enumerated
- Jul 28, 2010
- Last Updated
- Jun 17, 2024
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