Individual
JANINE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5665 PEACHTREE DUNWOODY RD NE, SUITE # 500, ATLANTA, GA 30342-1701
(404) 851-7990
(404) 851-4969
Mailing address
2241 SUNDOWN DR NE, ATLANTA, GA 30345-3554
(404) 325-5598
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55743
GA
Other
Enumeration date
10/18/2006
Last updated
07/09/2007
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