Ellison, Gregory Taylor

Ellison, Gregory Taylor is an individual health care provider with primary practice located at 4750 Waters Ave Ste 500 , Savannah GA 31404-6261. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Ellison, Gregory Taylor can be contacted via phone (912) 354-8346.

Contact Information

Primary practice address
4750 Waters Ave Ste 500 Savannah GA 31404-6261
Phone: (912) 354-8346
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 51428 South Carolina
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 078538 Georgia

Profile Details

NPI number 1528326667
LBN Legal business name Ellison, Gregory Taylor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2012
Last updated Sep 13th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528326667 NPPES
South Carolina MEDICAID GA2141
South Carolina MEDICAID 003193042A

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