Individual provider · Type 1 NPI
Ellis Ifeanyichukwu Efobi, MD
General Practice Physician · Stone Mountain, GA
NPI number
1144487018
Active
Practice location
1525 E. Park Place Blvd., Suite 300
Stone Mountain, GA 30087-3453
Fax (770) 879-7708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 060727 (GA) |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 060727 (GA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Stone Mountain
About NPI 1144487018
Ellis Ifeanyichukwu Efobi, MD's National Provider Identifier is 1144487018, issued on May 19, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Stone Mountain, GA. The record was last updated on Feb 2, 2011.