Individual
JEFFREY BRADFORD ELIASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1670 CLAIRMONT RD, PM&R CLINIC 117 ATLANTA VAMC, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
1670 CLAIRMONT RD, PM&R CLINIC 117 ATLANTA VAMC, DECATUR, GA 30033-4004
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
070093
GA
Other
Enumeration date
06/01/2009
Last updated
07/25/2013
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