Individual
MS. GALE ELAINE ELLIS-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3855 PRESIDENTIAL PKWY, ATLANTA, GA 30340-3705
(770) 451-6838
Mailing address
1239 ELLIS RD, HOGANSVILLE, GA 30230-4014
(706) 672-1016
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN058893
GA
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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