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Ellery Parks

NPI 1407346810 · on the registry since 2018 · sole proprietor

Practice

Address
72 Preserve Dr
Newnan, GA 30263
Phone
(877) 741-0808

Registry record

Primary taxonomy
251E00000X
251E00000X
Sex
Female
Record last updated
2021-07-27

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