-- MARK A ELLIS MD ⚕️ Georgia 1730150194

NPI	1730150194
Entity Type	Individual
Gender	Male
Sole Proprietor ?	Yes
Primary Taxonomy	208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: GA 036525)
Enumeration Date	2006-02-01
Last Update Date	2012-08-21

-- MARK A ELLIS MD

1765 OLD WEST BROAD ST BLDG 1 STE 200

ATHENS, GA 30606-2867

Phone number: 706-208-0451

-- MARK A ELLIS MD

PO BOX 7577

ATHENS, GA 30604-7577

Phone number: 706-208-0451