Mozzie Ellis

NPI #1912722901 in Fort Valley, Georgia

Provider Information

NPI Number: 1912722901
Entity Type: Individual
Name: Mozzie Ellis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Nov 15, 2024
Last Updated: Nov 15, 2024

Practice Location

Address: 410 E CHURCH ST
City: Fort Valley
State: Georgia
ZIP Code: 31030-3097
Phone: (229) 591-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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