DR. Ingrid A Ellison, M.D.

NPI #1205903556 in Hiram, Georgia

Provider Information

NPI Number
1205903556
Entity Type
Individual
Name
DR. Ingrid A Ellison, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician/Technologist - Ophthalmic
Credential
M.D.
Enumeration Date
Nov 30, 2006
Last Updated
Feb 8, 2013

Practice Location

Address
4795 JIMMY LEE SMITH PKWY
Address 2
SUITE 101
City
Hiram
State
Georgia
ZIP Code
30141-2792
Phone
(770) 222-6362

Specialties & Taxonomy Codes

Specialty
Optometrist
Technician/Technologist - OphthalmicOphthalmic

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