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:
Health care specialties
Specialty | Code | License # | 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 last year |
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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