Ellis, Margaret Ann

Ellis, Margaret Ann is an sole proprietor health care provider with primary practice located at 310 Eisenhower Drive Building 5, Savannah GA 31406. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Ellis, Margaret Ann can be contacted via phone (912) 201-1619.

Contact Information

Primary practice address
310 Eisenhower Drive Building 5 Savannah GA 31406
Phone: (912) 201-1619
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 31692 South Carolina
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 046620 Georgia

Profile Details

NPI number 1194951764
LBN Legal business name Ellis, Margaret Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2009
Last updated May 26th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194951764 NPPES
Georgia MEDICAID 003125717C
Georgia MEDICAID 003205914A

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