SearchGeorgia253Z00000X

Chasity Ellis

NPI 1336941590 · on the registry since 2025 · sole proprietor

Practice

Address
1272 Wentworth Cove Ct
Winder, GA 30680
Phone
(404) 710-4397

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Also registered as
174200000X
376K00000X
Sex
Female
Record last updated
2025-03-26

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