Individual
CALEB ALEXANDER ELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4110 OLD ROCKMART RD SE, SILVER CREEK, GA 30173-3311
(770) 855-5536
Mailing address
4110 OLD ROCKMART RD SE, SILVER CREEK, GA 30173-3311
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
13688
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/29/2025
Last updated
03/18/2026
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