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Charlie Ellis
NPI 1023827516 · on the registry since 2024
Practice
- Address
- 119 Jefferson Ct
Leesburg, GA 31763 - Phone
- (229) 869-3919
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia