Individual
MOLLIE MAE ELLINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(678) 833-4123
Mailing address
3625 KNOLL CREST TRL, BUFORD, GA 30519-5074
(678) 833-4123
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN195588
GA
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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