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Dr. Ellis Ifeanyichukwu Efobi

General Practice Physician Pain Medicine

1525 E. Park Place Blvd. Suite 300
Stone Mountain , Georgia 30087-3453

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Dr. Ellis Ifeanyichukwu Efobi

General Practice Physician Pain Medicine

1525 E. Park Place Blvd. Suite 300
Stone Mountain , Georgia 30087-3453

(770) 879-7708

Write a Review Save Call

Dr. Ellis Ifeanyichukwu Efobi

General Practice Physician Pain Medicine

1525 E. Park Place Blvd. Suite 300
Stone Mountain , Georgia 30087-3453

(770) 879-7708 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pain Medicine
  • General Practice Physician

Languages spoken

  • English

Location

1525 E. Park Place Blvd. Suite 300 Stone Mountain , Georgia 30087-3453

First Address

  • Dr. Ellis Ifeanyichukwu Efobi
  • 1525 E. Park Place Blvd. Suite 300
  • Stone Mountain, GA
  • Zip : 30087-3453
  • Fax : (770) 879-7708
  • Phone : (770) 879-7707

Second Address

  • Dr. Ellis Ifeanyichukwu Efobi
  • 1525 E. Park Place Blvd. Suite 300
  • Stone Mountain, GA
  • Zip : 30087-3453
  • Fax : (770) 879-7708
  • Phone : (770) 879-7707

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FAQs


Where did Dr. Ellis Ifeanyichukwu Efobi attend graduate school?

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Where did Dr. Ellis Ifeanyichukwu Efobi do his residency?

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Where did Dr. Ellis Ifeanyichukwu Efobi do his fellowship?

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Is Dr. Ellis Ifeanyichukwu Efobi board certified?

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What type of doctor is Dr. Ellis Ifeanyichukwu Efobi

General Practice Physician

In what state does Dr. Ellis Ifeanyichukwu Efobi practice in?

Georgia

Where is Dr. Ellis Ifeanyichukwu Efobi ’s practice located?

1525 E. Park Place Blvd. Suite 300 , Stone Mountain, Georgia, 30087-3453

What is Dr. Ellis Ifeanyichukwu Efobi ’s gender?

Male

Is Dr. Ellis Ifeanyichukwu Efobi a sole practitioner?

No

Is Dr. Ellis Ifeanyichukwu Efobi accepting new patients?

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What languages does Dr. Ellis Ifeanyichukwu Efobi speak?

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Does Dr. Ellis Ifeanyichukwu Efobi accept insurance?

Yes, Dr. Ellis Ifeanyichukwu Efobi accepts insurance

Does Dr. Ellis Ifeanyichukwu Efobi offers telemedicine?

Dr. Ellis Ifeanyichukwu Efobi has not indicated if he offers telemedicine

What is Dr. Ellis Ifeanyichukwu Efobi ’s professional license number?

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What is Dr. Ellis Ifeanyichukwu Efobi ’s NPI number?

1144487018

Does Dr. Ellis Ifeanyichukwu Efobi have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 2081P2900X Pain Medicine 060727 GA
Y 208D00000X General Practice Physician 060727 GA

National Provider Identifier

NPI 1144487018
Provider Name Dr. Ellis Ifeanyichukwu Efobi
First Address Stone Mountain, GA 30087-3453
Second Address Stone Mountain, GA 30087-3453
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 19/05/2008
Last Update Date 02/02/2011

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
594981959A (05) GA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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