Stephen Thomas Ellis

NPI #1013733575 in Holly Springs, Georgia

Provider Information

NPI Number
1013733575
Entity Type
Individual
Name
Stephen Thomas Ellis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
Dec 2, 2024
Last Updated
Dec 2, 2024

Practice Location

Address
100 HOLLY PARK CT APT 6308
State
Georgia
ZIP Code
30115-0226
Phone
(770) 380-2334

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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