KELVIN ELLIS

NPI: 1619748258 · Individual · Active

Primary Specialty

Driver

Practice Location

285 W WIEUCA RD NE
ATLANTA, GA 30342-3321 Map ↗
Phone: 470-705-1500

Mailing Address

1030 DECLARATION CT
MCDONOUGH, GA 30253-7905 Map ↗
Phone: 470-549-4523

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Driver Primary

NPI Registration

Enumerated: 2024-01-11

Last CMS Update: 2024-01-11