Individual
MS. GINGER R ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-7659
(770) 844-3290
Mailing address
2460 HAMILTON PARC LN, BUFORD, GA 30519-6201
(757) 635-0049
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023388
GA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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