Individual
DR. MARK MCELHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 CORPORATE CENTER DR, SUITE 200, MORROW, GA 30260-4180
(770) 968-6464
(770) 968-6455
Mailing address
303 PARKWAY DR NE, SUITE 418, ATLANTA, GA 30312-1212
(404) 265-6371
(404) 265-3505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M2709
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000825371C
—
GA
Enumeration date
03/29/2006
Last updated
04/07/2008
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