Ellis, Sharon Kelly
Ellis, Sharon Kelly is an individual health care provider with primary practice located at 5370 Stone Mountain Hwy Suite 700, Stone Mountain GA 30087-3581. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ellis, Sharon Kelly can be contacted via phone (770) 879-1961.Contact Information
Primary practice address
5370 Stone Mountain Hwy Suite 700
Stone Mountain GA 30087-3581
Phone: (770) 879-1961
Fax: (770) 879-9872
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1283 | Georgia |
Profile Details
| NPI number | 1336215599 |
|---|---|
| LBN Legal business name | Ellis, Sharon Kelly |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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