Individual
ELLEN MINICK MEDVED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1475 HOLCOMB BRIDGE RD STE 129, ROSWELL, GA 30076-2126
(678) 525-1962
Mailing address
5015 ROSEDOWN PL, ROSWELL, GA 30076-6305
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN077255
GA
Other
Enumeration date
09/05/2024
Last updated
02/26/2025
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