Organization · Type 2 NPI
Ellsworth Foot and Ankle Clinic
Podiatric Clinic/Center · Atlanta, GA
NPI number
1639769672
Active
Practice location
505 Fairburn Rd SW Ste 100
Atlanta, GA 30331-2012
Fax (801) 253-6888
Mailing address
9980 S 300 W Ste 300
Sandy, UT 84070-3654
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | None listed |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | None listed |
| Radiology Podiatrist | 213ER0200X | None listed |
| Sports Medicine Podiatrist | 213ES0000X | None listed |
| Foot Surgery Podiatrist | 213ES0131X | None listed |
| Podiatric Clinic/Center Primary | 261QP1100X | None listed |
Podiatric Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1639769672
Ellsworth Foot and Ankle Clinic's National Provider Identifier is 1639769672, issued on Jan 23, 2021. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Atlanta, GA. The record was last updated on Sep 25, 2024.