DR. MARK ELLISON, M.D.
Urology
Active
Individual
NPI: 1265431092
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Urology | 208800000X | Yes | 026107 (GA) |
Frequently Asked Questions
NPI 1265431092 is the National Provider Identifier for DR. MARK ELLISON, M.D., a Urology provider located in Athens, GA. This NPI was enumerated on July 14, 2005.
DR. MARK ELLISON, M.D. practices at 2142 W BROAD ST, BUILDING 200, SUITE 200, Athens, GA 30606.
Quick Facts
- NPI
- 1265431092
- Type
- Individual
- Enumerated
- Jul 14, 2005
- Last Updated
- Mar 7, 2023
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