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Individual

ELLEN WYZYKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
455 EPPS BRIDGE PKWY STE 202, ATHENS, GA 30606-3347
(706) 775-8907
Mailing address
166 SHERWOOD CIR, DANIELSVILLE, GA 30633-5891
(706) 254-7042

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN072856
GA

Other

Enumeration date
12/20/2022
Last updated
12/20/2022
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