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

MARK A ELLIS, MD

Active Sole Proprietor

MARK A ELLIS, MD is a Interventional Vascular Surgery healthcare provider located in ATHENS, Georgia. NPI 1730150194 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · ATHENS, GA

Registration Details

NPI Number
1730150194
Provider Type
Individual
Gender
Male
NPI Issued
Feb 1, 2006 (20.345327018498 yrs)
Last Updated
Aug 21, 2012
License
036525 (GA)
Sole Proprietor
Yes

Practice Information

Address
1765 OLD WEST BROAD ST
BLDG 1 STE 200
ATHENS, GA, 306062867
Browse GA providers · Browse ZIP 30606
Phone
7062080451
Fax
7062080147
Primary Specialty
Interventional Vascular Surgery
208VP0014X

Other Interventional Vascular Surgery Providers in ATHENS, GA

Name Credential NPI
DR. REGINALD STROTHER M.D. 1548241615
DR. RICHARD D CAMPBELL M.D. 1932180759
WILLIAM H MEGDAL M.D. 1063472066
DR. BENJAMIN ELLIS MCCURDY M.D. 1225254931
DR. DANIEL STEPHEN THOMAS M.D. 1871768671
NATHAN SMITH MD 1174884662
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.