Ellis W Evans Sr MD Facs PC

NPI #1528222338 in Macon, Georgia

Provider Information

NPI Number: 1528222338
Entity Type: Organization
Organization Name: Ellis W Evans Sr MD Facs PC
Primary Specialty: Surgery
Enumeration Date: Jul 11, 2008
Last Updated: Jul 11, 2008

Practice Location

Address: 770 PINE ST
Address 2: STE 220
City: Macon
State: Georgia
ZIP Code: 31201-2173
Phone: (478) 475-1299

Authorized Official

Name: DR. ELLIS W EVANS SR., MD
Title: OWNER
Phone: (478) 475-1299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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