| Howard S Ellison Md Pc | |
|
1010 East Freeway Dr Conyers GA 30094 | |
| (770) 922-8222 | |
| (770) 922-2001 |
| Full Name | Howard S Ellison Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1010 East Freeway Dr, Conyers, Georgia |
| Authorized Official Name and Position | Christy Childers Lister (OFFICE MANAGER) |
| Authorized Official Contact | 7709228222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Howard S Ellison Md Pc 1010 East Freeway Dr Conyers GA 30094 Ph: (770) 922-8222 | Howard S Ellison Md Pc 1010 East Freeway Dr Conyers GA 30094 Ph: (770) 922-8222 |
| NPI Number | 1831134428 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 07/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831134428 | NPI | - | NPPES |
| 000193586A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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