Individual
SUZANNE IVIE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4005 S COBB DR SE, SMYRNA, GA 30080-6307
(770) 431-7055
Mailing address
4005 S COBB DR SE, SMYRNA, GA 30080-6307
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
GA
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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