MR. Carl Edward Ellis JR.
NPI #1376667105 in Fort Oglethorpe, Georgia
Provider Information
- NPI Number
- 1376667105
- Entity Type
- Individual
- Name
- MR. Carl Edward Ellis JR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Mar 19, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 700 CITY HALL DR
- City
- Fort Oglethorpe
- State
- Georgia
- ZIP Code
- 30742-7802
- Phone
- (706) 861-3387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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