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Search › Georgia › 376K00000X

Selina Ellis

NPI 1326343765 · on the registry since 2011 · sole proprietor

Practice

Address
2055 Gees Mill Rd Ne
Suite 327
Conyers, GA 30013
Phone
(770) 679-5714
Fax
(888) 273-6606
Organisation at this address
Pathmedic Llc
King 1959, Inc.
Home Of The Heroes
Pelagie Care Clinic
Pelagie Foundation Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
376K00000X
376K00000X
Also registered as
372600000X
3747A0650X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-09-26

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