Individual
DORLA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2270 HICKORY STATION CIR, SNELLVILLE, GA 30078-6193
(770) 309-4359
Mailing address
2270 HICKORY STATION CIR, SNELLVILLE, GA 30078-6193
(770) 309-4359
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN254673
GA
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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