Organization
EAST POINT EYE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INGRID A ELLISON M.D. (OPHTHALMOLOGY)
(404) 346-2020
Entity
Organization
Contact information
Practice address
3600 MARKETPLACE BLVD, EAST POINT, GA 30344-8129
(404) 346-2020
(404) 346-2026
Mailing address
3995 RANDALL MILL RD NW, ATLANTA, GA 30327-3101
(404) 346-2020
(404) 346-2026
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
45207
GA
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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