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1295902948
TEDD VINCENT ELLERBROCK
ATLANTA, GA
NPI
1295902948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207VG0400X Obstetrics & Gynecology, Gynecology
(Licence: GA 028973)
Enumeration Date
2008-05-13
Last Update Date
2008-05-13
Business Address
-- TEDD VINCENT ELLERBROCK M.D.
1600 CLIFTON RD NE
ATLANTA, GA 30329-4018
Phone number: 404-639-8944
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Mailing Address
-- TEDD VINCENT ELLERBROCK M.D.
477 MILLEDGE GATE TER SE
MARIETTA, GA 30067-3700
Phone number: 404-639-8944
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