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Individual

DR. DOUGLAS H ELLEBY

Active
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Individual

DR. DOUGLAS H ELLEBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000433
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
000433
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000138993A
—
GA
05
—
1756385
—
LA
Enumeration date
10/24/2005
Last updated
08/12/2015
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