Individual
DR. MARC ALLEN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
903 BOMBAY LN, ROSWELL, GA 30076-5829
(770) 664-4288
Mailing address
903 BOMBAY LN, ROSWELL, GA 30076-5829
(770) 664-4288
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007215
GA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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