MARK FREDERICK ELLISON

ATHENS, GA
NPI1265431092
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: GA  026107)
Enumeration Date2005-07-14
Last Update Date2023-03-07
Business Address
Dr. MARK FREDERICK ELLISON M.D.
2142 W BROAD ST BUILDING 200, SUITE 200
ATHENS, GA 30606-3506
Phone number: 706-612-9401
Mailing Address
Dr. MARK FREDERICK ELLISON M.D.
PO BOX 6127
ATHENS, GA 30604-6127
Phone number: 706-612-9401
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