Ellis, Annisha

Ellis, Annisha is an individual health care provider with primary practice located at 1810 Mulkey Rd Suite 201, Austell GA 30106-1151. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ellis, Annisha can be contacted via phone (770) 819-9262.

Contact Information

Primary practice address
1810 Mulkey Rd Suite 201 Austell GA 30106-1151
Fax: (678) 945-1295
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 053849 Georgia

Profile Details

NPI number 1346230836
LBN Legal business name Ellis, Annisha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Dec 7th, 2011 - about 13 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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