DR. Russell John Ellicott, D.P.M. is a podiatrist in Martinez, GA with 42 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Russell John Ellicott, D.P.M. NPI is 1720022452. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1982
The provider's business location address is:
501 FURYS FERRY RD
MARTINEZ, GA
ZIP 30907-059
Phone: (706) 738-3298
Fax: (706) 364-4290
The NPI 1720022452 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).
The enumeration date for this NPI number is 6/15/2006 and was last updated on 2/6/2019.