Individual
DR. EDITH DAWN SWABY-ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3807 CLAIRMONT ROAD, NORTH DEKALB GRADY CLINIC, CHAMBLEE, GA 30341
(404) 616-0700
(404) 616-3078
Mailing address
4370 APPLE TREE DR, STONE MOUNTAIN, STONE MOUNTAIN, GA 30083-2467
(404) 298-9388
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
029112
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00331755A
—
GA
Enumeration date
08/22/2006
Last updated
07/21/2022
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