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

DR. EZRA DANIEL ELLIS, M.D.

Active

DR. EZRA DANIEL ELLIS, M.D. is a Anatomic Pathology & Clinical Pathology healthcare provider located in GAINESVILLE, Georgia. NPI 1164602611 is currently active in the NPPES registry. Verify at CMS.

Anatomic Pathology & Clinical Pathology · GAINESVILLE, GA

Registration Details

NPI Number
1164602611
Provider Type
Individual
Gender
Male
NPI Issued
Nov 13, 2007 (18.793645214989 yrs)
Last Updated
Oct 28, 2019
Licenses
M-10161 (ID)
2007-00176 (NC)
70094 (GA)

Practice Information

Address
743 SPRING ST NE
GAINESVILLE, GA, 305013715
Browse GA providers · Browse ZIP 30501
Phone
7702191136
Fax
7702196204
Primary Specialty
Anatomic Pathology & Clinical Pathology
207ZP0102X

Other Anatomic Pathology & Clinical Pathology Providers in GAINESVILLE, GA

Name Credential NPI
EARL J CONWAY MD 1699889881
ROBERT M MCCORMAC MD 1194839399
WILLIAM G THOMAS MD 1861506065
LINTON L KUCHLER MD 1881708063
KIMBERLY G MORRIS MD 1699837575
DR. ROSANNE GRACE FROST M.D. 1063550705
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.