Individual
LASHAUN DENISE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4651 ROSWELL RD STE I803, ATLANTA, GA 30342-3023
(678) 819-7777
(678) 845-5855
Mailing address
3359 BRIDLE RUN TRL NW, MARIETTA, GA 30064-1785
(917) 500-4799
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
68404
GA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
68404
GA
2083P0901X
Public Health & General Preventive Medicine Physician
68404
GA
208D00000X
General Practice Physician
261986
NY
208D00000X
General Practice Physician
Primary
68404
GA
208VP0000X
Pain Medicine Physician
68404
GA
Other
Enumeration date
05/19/2010
Last updated
08/14/2023
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