Wendell K Ellis MD

NPI 1093875973 - Internal Medicine - 207R00000X

NPI Details
NPI 1093875973
Gender Male
Enumeration Date 12/11/2006
Last Updated 03/13/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
682 HEMLOCK STREET
SUITE 490
MACON GA, 31201, US
Phone (478) 741-1208
Fax (478) 741-1557
Business Location
682 HEMLOCK ST
STE 490
MACON GA, 31201, US
Phone (478) 741-1208
Fax (478) 741-1557
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 062202
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According to our database, Dr. Wendell K Ellis MD NPI is 1093875973, taxonomy code is 207R00000X and license number is 062202, license state is located at Georgia. Wendell K Ellis MD physically located at 682 Hemlock Street, Macon GA, 31201. NPI Number Wendell K Ellis MD has the Individual type.

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1093875973 NPI number is provided on an as is basis without warranty of any kind. 1093875973 is maintained by the National Plan & Provider Enumeration System. The contents of Wendell K Ellis MD are for informational purposes only.