DR. Ellis Ifeanyichukwu Efobi, M.D. is a general practice in Stone Mountain, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee DR. Ellis Ifeanyichukwu Efobi, M.D. NPI is 1144487018. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1525 E. PARK PLACE BLVD.
SUITE 300
STONE MOUNTAIN, GA
ZIP 30087-453
Phone: (770) 879-7707
Fax: (770) 879-7708
The NPI 1144487018 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/19/2008 and was last updated on 2/2/2011.