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William Ellis

NPI 1215852207 · on the registry since 2026 · sole proprietor

Practice

Address
2412 16th Ave Apt A
Columbus, GA 31901
Phone
(706) 801-6505
Fax
(706) 801-6505

Registry record

Primary taxonomy
101YP1600X
101YP1600X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-11

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