Dortch, Elyceia Mona

Dortch, Elyceia Mona is an individual health care provider with primary practice located at 2525 Cumberland Pkwy Se , Atlanta GA 30339-3915. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Dortch, Elyceia Mona can be contacted via phone (470) 698-0239.

Contact Information

Primary practice address
2525 Cumberland Pkwy Se Atlanta GA 30339-3915
Phone: (470) 698-0239
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 80280 Georgia

Profile Details

NPI number 1700205879
LBN Legal business name Dortch, Elyceia Mona
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2014
Last updated Feb 26th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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