Search › Georgia › 101YP2500X
Dorian Ellis
NPI 1912522582 · on the registry since 2020 · sole proprietor
Practice
- Address
- 5470 Lemoyne Dr Sw
Atlanta, GA 30331 - Phone
- (617) 331-6966
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-06-10
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