Sean Ellis

NPI #1760052831 in Norcross, Georgia

Provider Information

NPI Number
1760052831
Entity Type
Individual
Name
Sean Ellis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Contractor
Enumeration Date
Jun 30, 2021
Last Updated
Jun 30, 2021

Practice Location

Address
602 OAKMONT LN
State
Georgia
ZIP Code
30093-1129
Phone
(347) 978-1822

Specialties & Taxonomy Codes

Specialty
Contractor

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