Search › Georgia › 156FX1100X
Ingrid Ellison, M.D
NPI 1205903556 · on the registry since 2006 · sole proprietor
Practice
- Address
- 4795 Jimmy Lee Smith Pkwy
Suite 101
Hiram, GA 30141 - Phone
- (770) 222-6362
- Fax
- (866) 528-7115
- Organisation at this address
- Hiram Vision Center, Inc.
Myeyedr. Optometry Of Georgia, LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 156FX1100X
156FX1100X
- Also registered as
- 152W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-02-08
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