Individual
NATASHA L ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 W 48TH ST, SAVANNAH, GA 31405-1967
(912) 707-1710
Mailing address
503 W 48TH ST, SAVANNAH, GA 31405-1967
(912) 707-1710
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
GA
374U00000X
Home Health Aide
—
GA
376K00000X
Nurse's Aide
Primary
CN0019210548
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-2778923
HEALTHCARE PROVIDER
GA
Enumeration date
10/15/2019
Last updated
10/15/2019
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