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Search › Georgia › 111N00000X

Carly Ellis, DC

NPI 1154642361 · on the registry since 2010

Practice

Address
2360 Towne Lake Pkwy
Ste 104
Woodstock, GA 30189
Phone
(770) 516-7477
Fax
(770) 516-7493
Organisation at this address
Woodstock Eyesite Inc
Towne Lake Family Pharmacy Llc
Optimum Health Rehab Of Woodstock Llc
Integrated Healthcare Center Of Woodstock Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
111N00000X
111N00000X
Also registered as
111N00000X
Licence states on file
IL, GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-03-10

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