Individual
STEPHANIE KNIGHT ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R. PH.
Contact information
Practice address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 221-9118
Mailing address
4668 WARRINGTON DR NE, ROSWELL, GA 30075-3183
(229) 392-0087
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
15726
GA
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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