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Search › Georgia › 207ZP0102X

Ezra Ellis, M.D

NPI 1164602611 · on the registry since 2007

Practice

Address
743 Spring St Ne
Gainesville, GA 30501
Phone
(770) 219-1136
Fax
(770) 219-6204
Organisation at this address
Northeast Georgia Medical Center Inc
Northeast Georgia Medical Center, Inc.
Northeast Georgia Medical Center, Inc.
Northeast Georgia Medical Center, Inc.
Northeast Georgia Physicians Group Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
747

Registry record

Primary taxonomy
207ZP0102X
207ZP0102X
Also registered as
207ZP0102X
207ZP0102X
Licence states on file
ID, NC, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-10-28

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