Individual
DR. JAMES DAVID ELLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 STONEBRIDGE PKWY, SUITE 420, WOODSTOCK, GA 30189-3767
(770) 544-1000
(770) 544-0302
Mailing address
120 STONEBRIDGE PKWY, SUITE 420, WOODSTOCK, GA 30189-3767
(770) 544-1000
(770) 544-0302
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
035861
GA
208VP0014X
Interventional Pain Medicine Physician
Primary
035861
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300008410
GA PAIN MANAGEMEN TAX ID#
GA
Enumeration date
01/11/2007
Last updated
07/25/2025
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