Individual
ELENI ANDRIA FOOTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4424 HUGH HOWELL RD STE D, TUCKER, GA 30084-4905
(404) 692-4466
(415) 252-7176
Mailing address
4424 HUGH HOWELL RD STE D, TUCKER, GA 30084-4905
(404) 692-4466
(415) 252-7176
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
80705
GA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
0101261415
GA
390200000X
Student in an Organized Health Care Education/Training Program
0116027044
VA
Other
Enumeration date
06/09/2014
Last updated
04/18/2025
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