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1174103550
MARCUS T ELLISON
CHARLOTTESVILLE, VA
NPI
1174103550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 0101282674)
Enumeration Date
2021-04-10
Last Update Date
2024-07-10
Business Address
MARCUS T ELLISON MD
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903-3410
Phone number: 434-924-1931
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Mailing Address
MARCUS T ELLISON MD
PO BOX 749112
ATLANTA, GA 30374-9112
Phone number:
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