Eleni Andria Footman
Geriatric Medicine
1459 Montreal Rd
Tucker
, Georgia 30084
Eleni Andria Footman
Geriatric Medicine
1459 Montreal Rd
Tucker
, Georgia 30084
(404) 778-7726
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Eleni Andria Footman
- 1365 Clifton Rd Ne Bldg A Suite At441
- Atlanta, GA
- Zip : 30322-1013
- Phone : (404) 778-7726
Second Address
- Eleni Andria Footman
- 1459 Montreal Rd
- Tucker, GA
- Zip : 30084
- Phone : (404) 778-7777
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 0101261415 | GA |
National Provider Identifier
| NPI | 1164835005 |
|---|---|
| Provider Name | Eleni Andria Footman |
| First Address | Atlanta, GA 30322-1013 |
| Second Address | Tucker, GA 30084 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2014 |
| Last Update Date | 01/02/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.