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1194495176
AVERY LOUISE ELLOWAY
STONE MOUNTAIN, GA
NPI
1194495176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: GA 11573)
Enumeration Date
2021-09-20
Last Update Date
2024-08-13
Business Address
AVERY LOUISE ELLOWAY PA-C
5462 MEMORIAL DR STE 101
STONE MOUNTAIN, GA 30083-3239
Phone number: 470-544-0854
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Mailing Address
AVERY LOUISE ELLOWAY PA-C
5462 MEMORIAL DR STE 101
STONE MOUNTAIN, GA 30083-3239
Phone number: 470-493-5458
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