Individual
DR. JENNIFER L ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3180 N POINT PKWY STE 205, ALPHARETTA, GA 30005-4381
(770) 777-4933
(770) 777-4934
Mailing address
3180 NORTH POINT PKWY, BLDG 200 SUITE 205, ALPHARETTA, GA 30005-4381
(707) 777-4933
(707) 777-4934
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
047738
GA
207VG0400X
Gynecology Physician
Primary
047738
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000942037A
—
GA
Enumeration date
07/06/2006
Last updated
07/28/2020
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