Swaby-Ellis, Edith Dawn

Swaby-Ellis, Edith Dawn is an individual health care provider with primary practice located at 3807 Clairmont Road North Dekalb Grady Clinic, Chamblee GA 30341. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Swaby-Ellis, Edith Dawn can be contacted via phone (404) 616-0700.

Contact Information

Primary practice address
3807 Clairmont Road North Dekalb Grady Clinic Chamblee GA 30341
Phone: (404) 616-0700
Fax: (404) 616-3078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 029112 Georgia

Profile Details

NPI number 1639285463
LBN Legal business name Swaby-Ellis, Edith Dawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jul 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639285463 NPPES
Georgia MEDICAID 00331755A

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