Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TERRIS ELLIOTT, REEGT, CLTM
ActiveDiagnostic Neuroimaging · VILLA RICA, GA
Registration Details
- NPI Number
- 1932851367
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 26, 2022 (4.233640371964 yrs)
- Last Updated
- Jan 26, 2022
- Licenses
-
7353 (GA)23874 (TN)499 (GA)
Practice Information
- Address
-
207 NORTH AVEVILLA RICA, GA, 301801937Browse GA providers · Browse ZIP 30180
- Phone
- 7705688881
- Primary Specialty
-
Diagnostic Neuroimaging
2084D0003X
- Additional Specialty
- Sleep Medicine (Psychiatry)
- Additional Specialty
- Diagnostic Neuroimaging
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.