IndividualActive
Terris Elliott, REEGT, CLTM
NPI 1932851367 · Diagnostic Neuroimaging (Psychiatry & Neurology) Physician · Villa Rica, GA
Provider details
- NPI number
- 1932851367
- Entity type
- Individual
- Primary specialty
- Diagnostic Neuroimaging (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- REEGT, CLTM
- Sex
- Male
- Sole proprietor
- No
- License
- 7353 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
207 North Ave
Villa Rica, GA 30180-1937
Phone: (770) 568-8881
Approximate (ZIP-level) locationGet directions
Mailing address
207 North Ave
Villa Rica, GA 30180-1937
Registry dates
- Enumerated
- 2022-01-26
- Last updated
- 2022-01-26
- Certified
- 2022-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.