ELLION PROFITT

STONE MOUNTAIN, GA
NPI1366942047
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
(Licence: GA  CO101834)
Enumeration Date2018-02-19
Last Update Date2018-02-19
Business Address
ELLION PROFITT
5479 MEMORIAL DR STE 2
STONE MOUNTAIN, GA 30083-3247
Phone number: 678-431-6352
Mailing Address
ELLION PROFITT
3738 WALDROP CREEK CT
DECATUR, GA 30034-6723
Phone number: 678-431-6352