Individual provider · Type 1 NPI

Elijah Debroux, MD

Student in an Organized Health Care Education/Training Program · Macon, GA

NPI number 1992384861 Active

Practice location

777 Hemlock Street Ln
Macon, GA 31201-2168

Mailing address

777 Hemlock St
Macon, GA 31201-2102

Other practice locations

  • 979 E 3rd St Ste B-401, Chattanooga, TN 37403-2136 · (423) 778-7695

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992384861

Elijah Debroux, MD's National Provider Identifier is 1992384861, issued on Apr 6, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Macon, GA. The record was last updated on Jun 20, 2022.