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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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ELLIOTT, TRENTON CHASE       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: ELYSIUM HEALTH AND WELLNESS
5555 PEACHTREE DUNWOODY RD SUITE 201
ATLANTA GA 30342

Address last updated on 1/18/2023
Phone #: (470) 663-6622
Fax #:
County: NOT OKLAHOMA
License: 37715
Dated: 2/5/2021
Expires: 2/1/2024
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: 5 / 2014
CME Year: 2024
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
ELYSIUM HEALTH AND WELLNESS
5555 PEACHTREE DUNWOODY RD SUITE 201
ATLANTA GA 30342

Phone #: (470) 663-6622
Fax #:
Mon: 8:00AM - 5:30PM
Tue: 8:00AM - 5:30PM
Wed: 8:00AM - 5:30PM
Thu: 8:00AM - 5:30PM
Fri: 8:00AM - 5:30PM
Sat: 8:00AM - 5:30PM
Sun: TELEMEDICINE

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