Individual
ELLA BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 CENTURY CIR NE APT 1372, ATLANTA, GA 30345-3050
(706) 414-3183
Mailing address
1740 CENTURY CIR NE APT 1372, ATLANTA, GA 30345-3050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/27/2025
Last updated
11/27/2025
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