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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528326667 | NPPES |
| South Carolina | MEDICAID | GA2141 | |
| South Carolina | MEDICAID | 003193042A |
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