Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK FREDERICK ELLISON, M.D.
ActiveDR. MARK FREDERICK ELLISON, M.D. is a Urology healthcare provider located in ATHENS, Georgia. NPI 1265431092 is currently active in the NPPES registry. Verify at CMS.
Urology · ATHENS, GA
Registration Details
- NPI Number
- 1265431092
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2005 (21.04626392176 yrs)
- Last Updated
- Mar 7, 2023
- License
-
026107 (GA)
Practice Information
- Address
-
2142 W BROAD STBUILDING 200, SUITE 200ATHENS, GA, 306063506Browse GA providers · Browse ZIP 30606
- Phone
- 7066129401
- Fax
- 7066129410
- Primary Specialty
-
Urology
208800000X
Other Urology Providers in ATHENS, GA
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID CARTER ALLEN | M.D. | 1669471496 |
| MARK A ADAMS | M.D. | 1568642767 |
| STEPHANIE JOHNSON | NP | 1255591665 |
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.