Stephen Ellison, O.D.

NPI #1316395445 in Gainesville, Georgia

Provider Information

NPI Number: 1316395445
Entity Type: Individual
Name: Stephen Ellison, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: May 31, 2016
Last Updated: May 20, 2019

Practice Location

Address: 2061 BEVERLY RD
City: Gainesville
State: Georgia
ZIP Code: 30501-2034
Phone: (770) 614-8577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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