Individual
NICOLE P ELLERINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3193 HOWELL MILL RD NW, SUITE 250, ATLANTA, GA 30327-2119
(404) 351-1131
(404) 351-3515
Mailing address
3193 HOWELL MILL RD NW, SUITE 250, ATLANTA, GA 30327-2119
(404) 351-1131
(404) 351-3515
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
040372
GA
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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