Ellis, Patricia Marie
Ellis, Patricia Marie is an individual health care provider with primary practice located at 1265 Highway 54 W Suite 102, Fayetteville GA 30214-4548. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ellis, Patricia Marie can be contacted via phone (770) 460-1900.Contact Information
Primary practice address
1265 Highway 54 W Suite 102
Fayetteville GA 30214-4548
Phone: (770) 460-1900
Fax: (770) 719-1214
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 007859 | Georgia |
Profile Details
| NPI number | 1346237450 |
|---|---|
| LBN Legal business name | Ellis, Patricia Marie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Jun 3rd, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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