Individual
DR. TRENTON C ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
659 AUBURN AVE NE STE 156, ATLANTA, GA 30312-1976
(404) 888-0228
(404) 888-0552
Mailing address
395 CENTRAL PARK PL NE UNIT 640, ATLANTA, GA 30312-1260
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
077870
GA
207R00000X
Internal Medicine Physician
260031
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077870
GA MEDICAL LICENSE
GA
Enumeration date
06/02/2014
Last updated
04/30/2020
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