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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518052257 NPPES
Louisiana MEDICAID 2359606
Louisiana MEDICAID 04021333

Popular Providers