Individual
ELLERY PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
72 PRESERVE DR, NEWNAN, GA 30263-2283
(877) 741-0808
Mailing address
PO BOX 73522, NEWNAN, GA 30271-3522
(877) 741-0808
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
07/27/2021
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