Individual
DR. WILLIAM KERRY ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
34 GREENVILLE ST, NEWNAN, GA 30263-2602
(770) 253-2073
(770) 251-4202
Mailing address
34 GREENVILLE ST, NEWNAN, GA 30263-2602
(770) 253-2073
(770) 251-4202
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR001771
GA
111N00000X
Chiropractor
LIC 0981-I
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00703282A
—
GA
01
—
35ZCDNM
PIN MEDICARE
GA
Enumeration date
09/26/2006
Last updated
07/09/2007
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