Elliott, Jennifer L
Elliott, Jennifer L is an sole proprietor health care provider with primary practice located at 3180 N Point Pkwy Ste 205 , Alpharetta GA 30005-4381. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Elliott, Jennifer L can be contacted via phone (770) 777-4933.Contact Information
Primary practice address
3180 N Point Pkwy Ste 205
Alpharetta GA 30005-4381
Phone: (770) 777-4933
Fax: (770) 777-4934
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 047738 | Georgia |
Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 047738 | Georgia |
Profile Details
NPI number | 1073544953 |
---|---|
LBN Legal business name | Elliott, Jennifer L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 6th, 2006 |
Last updated | Jul 28th, 2020 - about 5 years 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073544953 | NPPES |
Georgia | MEDICAID | 000942037A |
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