Ellison, Gregory Taylor
Ellison, Gregory Taylor is an individual health care provider with primary practice located at 1430 Harper St Building B, Augusta GA 30901-0617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ellison, Gregory Taylor can be contacted via phone (706) 724-5451.Contact Information
Primary practice address
1430 Harper St Building B
Augusta GA 30901-0617
Phone: (706) 724-5451
Fax: (706) 724-9562
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 024806 | Georgia |
Profile Details
| NPI number | 1780678516 |
|---|---|
| LBN Legal business name | Ellison, Gregory Taylor |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Oct 21st, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780678516 | NPPES |
| South Carolina | MEDICAID | G24806 |
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