Ellington, Rosina Ibeth

Ellington, Rosina Ibeth is an individual health care provider with primary practice located at 1255 Highway 54 W , Fayetteville GA 30214-4526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ellington, Rosina Ibeth can be contacted via phone (770) 719-7256.

Contact Information

Primary practice address
1255 Highway 54 W Fayetteville GA 30214-4526
Phone: (770) 719-7256
Fax: (770) 719-7378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN186595 Georgia

Profile Details

NPI number 1184873549
LBN Legal business name Ellington, Rosina Ibeth
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2008
Last updated Feb 28th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184873549 NPPES
Georgia MEDICAID 595097960A

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