Individual
ELLEN SENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 GILMER ST. SE, ATLANTA, GA 30303
(361) 946-5002
Mailing address
525 GLEN IRIS DR NE UNIT 3723, ATLANTA, GA 30308-2991
(361) 946-5002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11535
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/26/2021
Last updated
04/10/2023
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