Individual
DR. CARLA LASHANNON ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1364 CLIFTON RD NE, SUITE H-194, ATLANTA, GA 30322-1059
(404) 727-9885
Mailing address
1364 CLIFTON RD NE, SUITE H-194, ATLANTA, GA 30322-1059
(404) 727-9885
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
69801
GA
Other
Enumeration date
07/03/2007
Last updated
12/16/2013
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