DR. Richard K Ellis, M.D.
NPI #1245336932 in Lake City, South Carolina
Provider Information
- NPI Number
- 1245336932
- Entity Type
- Individual
- Name
- DR. Richard K Ellis, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Sep 16, 2006
- Last Updated
- Dec 4, 2013
Practice Location
- Address
- 148 SAULS ST
- City
- Lake City
- State
- South Carolina
- ZIP Code
- 29560-2631
- Phone
- (843) 374-3621
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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