# MR. TERRIS ELLIOTT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1932851367
- **Gender:** Man
- **Credential:** REEGT, CLTM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084D0003X | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | 499 | GA | Yes |
| 2084E0001X | Epilepsy Physician | 7353 | GA | — |
| 2084S0012X | Sleep Medicine (Psychiatry & Neurology) Physician | 23874 | TN | — |

## Other

- **Enumeration date:** 01/26/2022
- **Last updated:** 01/26/2022
