Ellison, Ingrid A

Ellison, Ingrid A is an sole proprietor health care provider with primary practice located at 4795 Jimmy Lee Smith Pkwy Suite 101, Hiram GA 30141-2792. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Ophthalmic. Eye and Vision Services Providers / Ophthalmic is her primary health care specialty. Ellison, Ingrid A can be contacted via phone (770) 222-6362.

Contact Information

Primary practice address
4795 Jimmy Lee Smith Pkwy Suite 101 Hiram GA 30141-2792
Phone: (770) 222-6362
Fax: (866) 528-7115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 45207 Georgia
Eye and Vision Services Providers / Ophthalmic 156FX1100X 45207 Georgia

Profile Details

NPI number 1205903556
LBN Legal business name Ellison, Ingrid A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2006
Last updated Feb 8th, 2013 - about 11 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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