ELLIE MARIE PONTIAKOS

SAVANNAH, GA
NPI1609605724
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  12577)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-07-29
Last Update Date2024-10-04
Business Address
ELLIE MARIE PONTIAKOS PA-C
4700 WATERS AVE
SAVANNAH, GA 31404-6220
Phone number: 912-350-8000
Mailing Address
ELLIE MARIE PONTIAKOS PA-C
885 RIVER BLUFF RD
NORTH AUGUSTA, SC 29841-6056
Phone number: 704-577-3998