CARL EDWARD ELLIS

FORT OGLETHORPE, GA
NPI1376667105
Professional NameCARL ELLIS
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
(Licence: GA  RPH009402)
Enumeration Date2007-03-19
Last Update Date2007-07-08
Business Address
Mr. CARL EDWARD ELLIS
700 CITY HALL DR
FORT OGLETHORPE, GA 30742-7802
Phone number: 706-861-3387
Mailing Address
Mr. CARL EDWARD ELLIS
31 S GLADE RD
FORT OGLETHORPE, GA 30742-3909
Phone number: 706-866-5097
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