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Search › Georgia › 208800000X

Mark Ellison, M.D

NPI 1265431092 · on the registry since 2005

Practice

Address
2142 W Broad St
Building 200, Suite 200
Athens, GA 30606
Phone
(706) 612-9401
Fax
(706) 612-9410
Organisation at this address
Gns,Llc
Kaiser Permanente
Surgery Center Of Athens Llc
St. Mary'S Medical Group, Inc.
Kaiser Foundation Health Plan Of Georgia Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
208800000X
208800000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-07

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