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Individual

ELIANA EGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
526 BANKHEAD HWY STE 101, CARROLLTON, GA 30117-2463
(770) 962-3642
(770) 962-3643
Mailing address
455 PHILIP BLVD STE 140, LAWRENCEVILLE, GA 30046-8768
(770) 962-3642
(770) 962-3643

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
109957
GA
208VP0000X
Pain Medicine Physician
Primary
109957
GA
208VP0000X
Pain Medicine Physician
76333
MN

Other

Enumeration date
03/21/2020
Last updated
04/01/2026
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