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Jack Ellis, D.O
NPI 1003115254 · on the registry since 2011
Practice
- Address
- 1120 15th St
Augusta, GA 30912 - Phone
- (706) 721-8623
- Organisation at this address
- Mppg, Inc.
Ashwins, Llc
Mcg Health, Inc
Mcg Health, Inc
Augusta UniversityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,715
Additional practice sites
- 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA
Registry record
- Primary taxonomy
- Internal Medicine Physician
207R00000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-05-31
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