Ellison, Thomas S.

Ellison, Thomas S. is an individual health care provider with primary practice located at 4040 Highway 17 Unit 301 , Murrells Inlet SC 29576-5098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Ellison, Thomas S. can be contacted via phone (843) 652-8205.

Contact Information

Primary practice address
4040 Highway 17 Unit 301 Murrells Inlet SC 29576-5098
Phone: (843) 652-8205
Fax: (843) 652-8215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 97-00936 North Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X TL24839 South Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 24839 South Carolina

Profile Details

NPI number 1780630574
LBN Legal business name Ellison, Thomas S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Nov 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780630574 NPPES
South Carolina MEDICAID Q08866
South Carolina MEDICAID 8910500

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