John Ellis IV

NPI #1063013613 in Newnan, Georgia

Provider Information

NPI Number
1063013613
Entity Type
Individual
Name
John Ellis IV
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Nov 2, 2020
Last Updated
Nov 2, 2020

Practice Location

Address
135 RUDDERS XING
City
Newnan
State
Georgia
ZIP Code
30263-7032
Phone
(678) 994-2192

Specialties & Taxonomy Codes

Specialty
Pharmacist

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