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Individual

ELLEN PANTAZIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1250 INVERNESS CORNERS, BIRMINGHAM, AL 35242-3794
(205) 980-0035
(205) 980-1649
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-130868
AL

Other

Enumeration date
02/22/2017
Last updated
06/29/2023
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