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Individual

STORY ELLIOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2732 CANDLER RD, DECATUR, GA 30034-1410
(470) 444-3133
(470) 276-4051
Mailing address
PO BOX 740015, ATLANTA, GA 30374-0015
(312) 733-9730

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
101092
GA
207Q00000X
Family Medicine Physician
25MB11213900
NJ

Other

Enumeration date
08/01/2018
Last updated
07/24/2024
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