Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellion Profitt

Individual provider Prosthetics Case Management · NPI 1366942047

Ellion Profitt is a Prosthetics Case Management in Stone Mountain, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2018
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Practice location Address checks out

5479 Memorial Dr Ste 2
Stone Mountain, GA 30083-3247
Phone: (678) 431-6352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X · Licence CO101834 (GA)

Record details

NPI number1366942047
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 19, 2018
Last updated in NPPESFebruary 19, 2018
Mailing address3738 Waldrop Creek Ct, Decatur, GA 30034-6723

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