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Jeffery Ellis
NPI 1972470326 · on the registry since 2025 · sole proprietor
Practice
- Address
- 11075 Tara Glynn Dr
Hampton, GA 30228 - Phone
- (678) 720-6976
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Also registered as
- 172A00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-02-17
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