Elizabeth M Ellis


Address: 2400 Pleasant Hill Rd, Suite 165, Duluth, GA 30096-1702
Phone: 7704761967

Elizabeth M Ellis (NPI# 1053478503, PAC ID# 3971584566) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1053478503
PAC ID by PECOS 3971584566
Professional Enrollment ID I20040528000626
Full Name Elizabeth M Ellis
Address 2400 Pleasant Hill Rd
Suite 165
Duluth
GA 30096-1702
Phone Number 7704761967
Gender F
Credential CP
Graduation Year 1977
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
2400 Pleasant Hill Rd, Suite 165, Duluth, GA 30096-1702 7704761967

Organization Information

Office Location

Street Address 2400 PLEASANT HILL RD
SUITE 165
City DULUTH
State GA
Zip 30096-1702

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Name Specialty Organization Address
Jo M Kim Internal Medicine 2400 Pleasant Hill Rd, Suite 300, Duluth, GA 30096-4398

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Cori Folkes Harrell Nurse Practitioner Maxa Internal Medicine Associates PC 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096
Benigno B Bobon Internal Medicine Maxa Internal Medicine Associates PC 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096
Joel Kent Phillips Physician Assistant Maxa Internal Medicine Associates PC 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096
Sherry E Johnson Occupational Therapy Peachtree Orthopaedic Clinic Pa 3870 Pleasant Hill Road, Suite 1, Duluth, GA 30096
Danielle R Mcgee Physical Therapy Peachtree Orthopaedic Clinic Pa 3870 Pleasant Hill Road, Suite 1, Duluth, GA 30096
Laura E Lashley Nurse Practitioner Maxa Internal Medicine Associates PC 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096
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Competitor

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City DULUTH
Zip Code 30096
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty DULUTH + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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