Search › Georgia › 103TC0700X
Donovan Ellis, PHD
NPI 1124794243 · on the registry since 2021
Practice
- Address
- 12 Executive Park Dr Ne
Atlanta, GA 30329 - Phone
- (404) 941-5381
- Clinicians at this address
- 171
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 390200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-26
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