Ellis, Mireille F

Ellis, Mireille F is an individual health care provider with primary practice located at 2650 Holcomb Bridge Rd Ste 510 , Alpharetta GA 30022-5374. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Ellis, Mireille F can be contacted via phone (404) 255-4080.

Contact Information

Primary practice address
2650 Holcomb Bridge Rd Ste 510 Alpharetta GA 30022-5374
Phone: (404) 255-4080
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 6652 Georgia
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 001471 Georgia

Profile Details

NPI number 1154442200
LBN Legal business name Ellis, Mireille F
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Apr 19th, 2023 - about 2 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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