DR. RUSSELL ELLICOTT, D.P.M.
Podiatrist
Active
Individual
NPI: 1720022452
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Podiatrist | 213E00000X | Yes | POD000558 (GA) |
Frequently Asked Questions
NPI 1720022452 is the National Provider Identifier for DR. RUSSELL ELLICOTT, D.P.M., a Podiatrist provider located in Martinez, GA. This NPI was enumerated on June 15, 2006.
DR. RUSSELL ELLICOTT, D.P.M. practices at 501 FURYS FERRY RD, Martinez, GA 30907.
Quick Facts
- NPI
- 1720022452
- Type
- Individual
- Enumerated
- Jun 15, 2006
- Last Updated
- Feb 6, 2019
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