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1497705545
MICHAEL ELLSWORTH
ATLANTA, GA
NPI
1497705545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 3720)
Enumeration Date
2006-05-11
Last Update Date
2022-06-06
Business Address
MICHAEL ELLSWORTH PAA
1001 JOHNSON FY RD NE
ATLANTA, GA 30342-1605
Phone number: 404-785-2008
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Mailing Address
MICHAEL ELLSWORTH PAA
1001 JOHNSON FY RD NE
ATLANTA, GA 30342-1605
Phone number: 404-785-2008
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