Individual
DR. ELYCEIA MONA DORTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2525 CUMBERLAND PKWY SE, ATLANTA, GA 30339-3915
(470) 698-0239
Mailing address
60 11TH ST NE APT 714, ATLANTA, GA 30309-4362
(404) 444-5634
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
80280
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2014
Last updated
02/26/2024
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