Search › Georgia › 103T00000X
Ellen Brackup, PH.D
NPI 1720109317 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1251 Apple Valley Rd Ne
Atlanta, GA 30319 - Phone
- (404) 231-4455
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TC0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia