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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER T ELLIS, MD

Active

JENNIFER T ELLIS, MD is a Family Medicine healthcare provider located in SIMPSONVILLE, South Carolina. NPI 1083641757 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SIMPSONVILLE, SC

Registration Details

NPI Number
1083641757
Provider Type
Individual
Gender
Female
NPI Issued
Jun 27, 2006 (20.132298152883 yrs)
Last Updated
Aug 15, 2017
License
24518 (SC)

Practice Information

Address
717 SE MAIN ST
SIMPSONVILLE, SC, 296813237
Browse SC providers · Browse ZIP 29681
Phone
8645225400
Fax
8645225405
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in SIMPSONVILLE, SC

Name Credential NPI
KIMBERLEY S PATTON M.D. 1730182577
MOLLY CAROLYN ADAMS MD 1508853649
TODD RUSSELL ZUSMER D.O. 1801884887
VINCENT EDWARD GREEN M.D 1366431025
DR. MICHAEL S. ATKINSON M.D. 1952388480
DR. LINDA L REDDERSON MD 1265402192
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.