Ellis, Renee Ann

Ellis, Renee Ann is an individual health care provider with primary practice located at 121 Park Central Drive Suite 200 Columbia Nephrology, Columbia SC 29203. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Ellis, Renee Ann can be contacted via phone (803) 252-9907.

Contact Information

Primary practice address
121 Park Central Drive Suite 200 Columbia Nephrology Columbia SC 29203
Fax: (803) 252-9906
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 31193 South Carolina

Profile Details

NPI number 1134391733
LBN Legal business name Ellis, Renee Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2008
Last updated Aug 30th, 2017 - about 8 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 1134391733 NPPES
South Carolina MEDICAID 48355

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