ELLEN MINICK MEDVED

ROSWELL, GA
NPI1447085899
Former NameELLEN ELIZABETH MINICK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN077255)
Enumeration Date2024-09-05
Last Update Date2025-02-26
Business Address
ELLEN MINICK MEDVED FNP-C
1475 HOLCOMB BRIDGE RD STE 129
ROSWELL, GA 30076-2126
Phone number: 678-525-1962
Mailing Address
ELLEN MINICK MEDVED FNP-C
5015 ROSEDOWN PL
ROSWELL, GA 30076-6305
Phone number: