Individual
DR. MATTHEW C D ELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2500 STARLING ST, SUITE 301, BRUNSWICK, GA 31520-4265
(912) 265-4766
(912) 267-9857
Mailing address
2500 STARLING ST, SUITE 301, BRUNSWICK, GA 31520-4265
(912) 265-4766
(912) 267-9857
Taxonomy
Speciality
Code
Description
License number
State
213ER0200X
Radiology Podiatrist
POD000987
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000987
GA
Other
Enumeration date
11/16/2005
Last updated
04/22/2009
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