Individual
MR. TERRIS ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REEGT, CLTM
Contact information
Practice address
207 NORTH AVE, VILLA RICA, GA 30180-1937
(770) 568-8881
Mailing address
207 NORTH AVE, VILLA RICA, GA 30180-1937
Taxonomy
Speciality
Code
Description
License number
State
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
Primary
499
GA
2084E0001X
Epilepsy Physician
7353
GA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
23874
TN
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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