NPI 1902598907 · live from the CMS NPI Registry
Mollie Mae Ellington, RN
Registered Nurse, General Practice in Atlanta, GA. National Provider Identifier 1902598907, active.
NPI record
| NPI | 1902598907 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303 |
| Practice phone | 678-833-4123 |
| Mailing address | 3625 Knoll Crest Trl, Buford, GA 30519 |
| Enumerated | May 26, 2023 |
| Last updated | May 26, 2023 |
| Sole proprietor | Yes |
| Other names | Mollie Walker |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | RN195588 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.