Organization
THE ELLIS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY NICHOLAS D.C. (OWNER)
(770) 227-3514
Entity
Organization
Contact information
Practice address
724 S 8TH ST, GRIFFIN, GA 30224-4827
(770) 227-3514
(770) 229-6059
Mailing address
724 S 8TH ST, GRIFFIN, GA 30224-4827
(770) 227-3514
(770) 229-6059
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4951
GA
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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