Individual
MR. JOSHUA DELOACH ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
460 NORTHSIDE CHEROKEE BLVD STE 150, CANTON, GA 30115-8018
(470) 639-6250
(770) 345-0712
Mailing address
460 NORTHSIDE CHEROKEE BLVD STE 150, CANTON, GA 30115-8018
(470) 639-6250
(770) 345-0712
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7959
GA
363AS0400X
Surgical Physician Assistant
7959
GA
Other
Enumeration date
04/18/2016
Last updated
03/27/2023
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