Individual
MRS. TARA FLYNN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN CNOR RNFA
Contact information
Practice address
1968 PEACHTREE RD, ATLANTA, GA 30309
(404) 605-3250
Mailing address
258 LITTLE HENDRICKS MOUNTAIN RD, #20013, JASPER, GA 30143-7853
(770) 653-5731
(770) 893-1040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN097327
GA
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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