Individual provider · Type 1 NPI

Eleanor Marie Mentonelli, PA-C

Surgical Physician Assistant · Gainesville, GA

NPI number 1215465943 Active

Practice location

200 S Enota Dr NE Ste 380
Gainesville, GA 30501-3475

Call (770) 219-7099 Map

Mailing address

PO Box 742616
Atlanta, GA 30374-2616

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X7437 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1215465943

Eleanor Marie Mentonelli, PA-C's National Provider Identifier is 1215465943, issued on May 25, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Gainesville, GA. The record was last updated on Oct 26, 2020.