Individual provider · Type 1 NPI
Matthew C. D. Eller, D.P.M.
Foot & Ankle Surgery Podiatrist · Brunswick, GA
NPI number
1083696090
Active
Practice location
2500 Starling St, Suite 301
Brunswick, GA 31520-4265
Fax (912) 267-9857
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | POD000987 (GA) |
| Radiology Podiatrist | 213ER0200X | POD000987 (GA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1083696090
Matthew C. D. Eller, D.P.M.'s National Provider Identifier is 1083696090, issued on Nov 16, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Brunswick, GA. The record was last updated on Apr 22, 2009.