Abraham, George Ellis
Abraham, George Ellis is an individual health care provider with primary practice located at 2500 N State St Division Of Pulmonary, Critical Care, And Sleep Med, Jackson MS 39216-4500. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Abraham, George Ellis can be contacted via phone (601) 984-5650.Contact Information
Primary practice address
2500 N State St Division Of Pulmonary, Critical Care, And Sleep Med
Jackson MS 39216-4500
Phone: (601) 984-5650
Fax: (601) 984-5658
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 19213 | Mississippi |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 19213 | Mississippi |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 19213 | Mississippi |
Profile Details
| NPI number | 1518052257 |
|---|---|
| LBN Legal business name | Abraham, George Ellis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | May 27th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518052257 | NPPES |
| Louisiana | MEDICAID | 2359606 | |
| Louisiana | MEDICAID | 04021333 |
Popular Providers
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Wilhelm, Andrew Mark
2500 North State Street Department Of Medicine Division Of Pulmonary, Jackson MS 39216-4500 -
Broom, Sarah J
501 Marshall St Ste 208, Jackson MS 39202-1651 -
Middleton, Robert
971 Lakeland Dr Suite 1052, Jackson MS 39216-4643 -
Dobbs, Kimberly
2500 N State St , Jackson MS 39216-4500 -
Williams, William Thomas
1200 N State St Ste 500 , Jackson MS 39202-2027 -
Portis, Raymond L.
1200 N State St Suite 480, Jackson MS 39202-2000 -
Douglas, Sharon Patricia
1500 E Woodrow Wilson Ave 14A, Jackson MS 39216-5116 -
Bhagat, Rajesh
2500 North State Street Department Of Medicine Division Of Pulmonary, Jackson MS 39216-4500