Individual
MR. HERB LEE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1281 LOGANS RIDGE RD, CLEVELAND, GA 30528-3358
(706) 865-0182
Mailing address
1281 LOGANS RIDGE RD, CLEVELAND, GA 30528-3358
(706) 865-0182
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10736
GA
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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