COLTER ELLIS

ATLANTA, GA
NPI1699549923
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: GA  LD006552)
Enumeration Date2023-11-07
Last Update Date2023-11-07
Business Address
COLTER ELLIS RD
3006 VININGS FERRY DR SE
ATLANTA, GA 30339-4300
Phone number: 828-460-7789
Mailing Address
COLTER ELLIS RD
3006 VININGS FERRY DR SE
ATLANTA, GA 30339-4300
Phone number:
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