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1891745980
JODY D ELLISON
COLUMBIA, SC
NPI
1891745980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 20390)
Enumeration Date
2006-05-11
Last Update Date
2012-01-12
Business Address
Miss JODY D ELLISON MD
1520 LAUREL ST
COLUMBIA, SC 29201-2623
Phone number: 803-799-8407
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Mailing Address
Miss JODY D ELLISON MD
1520 LAUREL ST
COLUMBIA, SC 29201-2623
Phone number: 803-799-8407
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