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Search › Georgia › 367500000X

Ellis Jackson, CRNA

NPI 1659362283 · on the registry since 2005

Practice

Address
610 3rd St
Macon, GA 31201
Phone
(229) 344-6080
Fax
(229) 436-8649
Organisation at this address
Eclipse Anesthesia Llc
Synthesis Pathology, Llc
Midstate Anesthesia, Llc
Your Doctor'S After Hours, Llc
Endoscopy Asc Of Middle Georgia Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
367500000X
367500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-04-12

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