Ellis, Shannon Bolling
Ellis, Shannon Bolling is an individual health care provider with primary practice located at 400 Mall Blvd Ste G , Savannah GA 31406-4820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Ellis, Shannon Bolling can be contacted via phone (912) 644-5200.Contact Information
Primary practice address
400 Mall Blvd Ste G
Savannah GA 31406-4820
Phone: (912) 644-5200
Fax: (912) 349-5691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | 073702 | Georgia |
Profile Details
| NPI number | 1295706166 |
|---|---|
| LBN Legal business name | Ellis, Shannon Bolling |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Jan 25th, 2021 - about 3 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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