Individual
BONNIE P ELLENOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3640 TRAMORE POINTE PKWY, KAISER PERMANENTE WEST COBB MEDICAL CENTER, AUSTELL, GA 30106-6825
(770) 439-4700
(404) 370-0428
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 504-5678
(404) 370-0428
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
051644
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009593950
—
GA
Enumeration date
12/13/2006
Last updated
01/13/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us