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1003981671
MICHAEL ALAN ELLIS
COLUMBUS, GA
NPI
1003981671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: GA 062835)
Enumeration Date
2006-11-21
Last Update Date
2024-08-01
Business Address
MICHAEL ALAN ELLIS D.O.
2000 16TH AVENUE
COLUMBUS, GA 31901-1665
Phone number: 706-320-3770
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Mailing Address
MICHAEL ALAN ELLIS D.O.
2300 MANCHESTER EXPY STE 2001A
COLUMBUS, GA 31904-6802
Phone number: 706-320-3126
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