Rodica Simina Ellis MD

NPI 1164588844 - Internal Medicine - 207R00000X

NPI Details
NPI 1164588844
Gender Female
Enumeration Date 12/28/2006
Last Updated 10/24/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE GA, 30046-7694, US
Phone (678) 312-3273
Fax (678) 312-3282
Business Location
PO BOX 116156
ATLANTA GA, 30368-6156, US
Phone (678) 312-5525
Fax (770) 339-2120
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 058413
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According to our database, Rodica Simina Ellis MD NPI is 1164588844, taxonomy code is 207R00000X and license number is 058413, license state is located at Georgia. Rodica Simina Ellis MD physically located at 1000 Medical Center Blvd, Lawrenceville GA, 30046-7694. NPI Number Rodica Simina Ellis MD has the Individual type.

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1164588844 NPI number is provided on an as is basis without warranty of any kind. 1164588844 is maintained by the National Plan & Provider Enumeration System. The contents of Rodica Simina Ellis MD are for informational purposes only.