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1447085899
ELLEN MINICK MEDVED
ROSWELL, GA
NPI
1447085899
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Former Name
ELLEN ELIZABETH MINICK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN077255)
Enumeration Date
2024-09-05
Last Update Date
2024-09-05
Business Address
ELLEN MINICK MEDVED FNP-C
11660 ALPHARETTA HWY STE 600
ROSWELL, GA 30076-3891
Phone number: 470-913-7350
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Mailing Address
ELLEN MINICK MEDVED FNP-C
5015 ROSEDOWN PL
ROSWELL, GA 30076-6305
Phone number: 678-525-1962
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