David J. Ellis, Do, LLC
NPI #1356495238 in Hazlehurst, Georgia
Provider Information
- NPI Number
- 1356495238
- Entity Type
- Organization
- Organization Name
- David J. Ellis, Do, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 22, 2007
- Last Updated
- Aug 20, 2009
Practice Location
- Address
- 143 S TALLAHASSEE ST
- City
- Hazlehurst
- State
- Georgia
- ZIP Code
- 31539-6466
- Phone
- (912) 375-7575
Authorized Official
- Name
- DR. DAVID J ELLIS, DO
- Title
- PHYSICIAN
- Phone
- (912) 375-7575
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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