Individual
MRS. CINDY MARIE ELLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
203 WOODPARK PL. BLDG B. 2ND FLOOR, WOODSTOCK, GA 30188
(770) 516-1050
(770) 516-1300
Mailing address
9876 MAIN ST, SUITE 100, WOODSTOCK, GA 30188-3970
(770) 516-1050
(770) 516-1300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN173206
GA
163WC0200X
Critical Care Medicine Registered Nurse
RN173206
GA
163WE0003X
Emergency Registered Nurse
RN173206
GA
163WG0000X
General Practice Registered Nurse
RN173206
GA
163WH1000X
Hospice Registered Nurse
RN173206
GA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN173206
GA
163WS0200X
School Registered Nurse
RN173206
GA
Other
Enumeration date
02/05/2016
Last updated
05/06/2019
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