GEORGE E ELLIS

HAZLEHURST, MS
NPI1235347436
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: MS  233687)
Enumeration Date2007-05-19
Last Update Date2007-07-08
Business Address
GEORGE E ELLIS D.M.D.
108 TRADE CENTER LN
HAZLEHURST, MS 39083-2319
Phone number: 601-894-4016
Mailing Address
GEORGE E ELLIS D.M.D.
108 TRADE CENTER LN
HAZLEHURST, MS 39083-2319
Phone number: 601-894-4016