Jennifer Hicks Ellerbe, MS

NPI #1841007283 in Grayson, Georgia

Provider Information

NPI Number: 1841007283
Entity Type: Individual
Name: Jennifer Hicks Ellerbe, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Credential: MS
Enumeration Date: Dec 17, 2024
Last Updated: Dec 17, 2024

Practice Location

Address: 1344 SWALLOWS WALK
City: Grayson
State: Georgia
ZIP Code: 30017-1736
Phone: (770) 364-2623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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