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Individual

PROF. ELAN IVY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3300 HAMILTON MILL RD STE 102, BUFORD, GA 30519-4004
(770) 615-2364
Mailing address
3300 HAMILTON MILL RD STE 102, BUFORD, GA 30519-4004

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
175L00000X
Homeopath

Other

Enumeration date
06/28/2025
Last updated
06/28/2025
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