Ellen Ortlip

NPI #1417735085 in Cumming, Georgia

Provider Information

NPI Number: 1417735085
Entity Type: Individual
Name: Ellen Ortlip
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Sep 15, 2023
Last Updated: Sep 15, 2023

Practice Location

Address: 4835 WESTGATE DR
City: Cumming
State: Georgia
ZIP Code: 30040-9446
Phone: (770) 355-8596

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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