Individual provider · Type 1 NPI

Elleise McKenzie Lannom

Physician Assistant · Dalton, GA

NPI number 1114841061 Active

Practice location

1114 Professional Blvd
Dalton, GA 30720-2597

Call (706) 278-0138 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1114841061

Elleise McKenzie Lannom's National Provider Identifier is 1114841061, issued on Aug 5, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Dalton, GA. The record was last updated on Aug 31, 2026.