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NPI Verification

National Provider Identifier: 1265431092

Mark Frederick Ellison, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

PO BOX 6127

ATHENS, GA 306046127

Phone: 706-612-9401

NPI Enumeration Date

July 14, 2005

NPI Number

1265431092

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry