Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN SCOTT ELLSWORTH, DPM
Active Sole ProprietorRYAN SCOTT ELLSWORTH, DPM is a Foot Surgery Podiatrist healthcare provider located in ATLANTA, Georgia. NPI 1104130574 is currently active in the NPPES registry. Verify at CMS.
Foot Surgery Podiatrist · ATLANTA, GA
Registration Details
- NPI Number
- 1104130574
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2010 (15.862541558065 yrs)
- Last Updated
- Jun 17, 2024
- Licenses
-
2109 (NV)E5797 (CA)PO4406 (FL)POD001473 (GA)8400193-0501 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
505 FAIRBURN RD SW STE 100ATLANTA, GA, 303312012Browse GA providers · Browse ZIP 30331
- Phone
- 4046186077
- Fax
- 8012536888
- Primary Specialty
-
Foot Surgery Podiatrist
213ES0131X
- Additional Specialty
- Podiatrist
- Additional Specialty
- Podiatrist
- Additional Specialty
- Podiatrist
- Additional Specialty
- Radiology Podiatrist
Other Foot Surgery Podiatrist Providers in ATLANTA, GA
| Name | Credential | NPI |
|---|---|---|
| DR. JESSICA ERIN BROWN | DPM | 1275044190 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.