Individual provider · Type 1 NPI

Russell John Ellicott, D.P.M.

Podiatrist · Martinez, GA

NPI number 1720022452 Active

Practice location

501 Furys Ferry Rd
Martinez, GA 30907-9059

Fax (706) 364-4290

Mailing address

501 Fury's Ferry Road
Martinez, GA 30907

Specialties and licenses

TaxonomyCodeLicense
Podiatrist 213E00000X96 (SC)
Podiatrist Primary 213E00000XPOD000558 (GA)

Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

2 other providers at this address

Other podiatrist providers in Martinez

See all in Martinez →

About NPI 1720022452

Russell John Ellicott, D.P.M.'s National Provider Identifier is 1720022452, issued on Jun 15, 2006. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Martinez, GA. The record was last updated on Feb 6, 2019.