Ellis, Laura

Ellis, Laura is an individual health care provider with primary practice located at 1100 Johnson Ferry Rd Ne Suite 600, Sandy Springs GA 30342-1709. 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. Ellis, Laura can be contacted via phone (404) 256-4777.

Contact Information

Primary practice address
1100 Johnson Ferry Rd Ne Suite 600 Sandy Springs GA 30342-1709
Phone: (404) 256-4777
Fax: (404) 256-5515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN050577 Georgia

Profile Details

NPI number 1174502124
LBN Legal business name Ellis, Laura
Credentials Master of Science in Nursing (MSN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jan 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174502124 NPPES
Georgia Other CA9328 MEDICARE GROUP-DMERC
Georgia MEDICAID 000885739C MEDICARE GROUP-DMERC

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