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Individual

DR. EMILY MICHELLE ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
4441 ATLANTA RD SE STE 205, SMYRNA, GA 30080-6442
(770) 801-5020
Mailing address
4441 ATLANTA RD SE STE 205, SMYRNA, GA 30080-6442
(770) 801-5020

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD004056
GA
231H00000X
Audiologist
LD60387736
WA

Other

Enumeration date
07/09/2013
Last updated
04/26/2021
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