Individual
DR. KARL L ELLIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9410 WILLEO RD, SUITE B, ROSWELL, GA 30075-5084
(770) 992-0991
(678) 502-7166
Mailing address
9410 WILLEO RD, SUITE B, ROSWELL, GA 30075-5084
(770) 992-0991
(678) 502-7166
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008596
GA
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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