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1528222338
ELLIS W EVANS SR MD FACS PC
MACON, GA
NPI
1528222338
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Entity Type
Organization
Authorized Contact
ELLIS W EVANS
Owner
478-475-1299
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
(Licence: GA 013745)
Enumeration Date
2008-07-11
Last Update Date
2008-07-11
Business Address
ELLIS W EVANS SR MD FACS PC
770 PINE ST STE 220
MACON, GA 31201-2173
Phone number: 478-475-1299
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Mailing Address
ELLIS W EVANS SR MD FACS PC
PO BOX 26040
MACON, GA 31221-6040
Phone number: 478-475-1299
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