NPI 1275422040
Elan Ivy
Practice location
- Address
- 3300 Hamilton Mill Rd STE 102, Buford, GA 30519-4004
- Phone
- (770) 615-2364
Registered specialties (2)
Naturopath
Primary
Homeopath
Registry record
- NPI
- 1275422040
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Jun 2025
- Record last updated
- 28 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.