Ellwood, Hilary Kate
Ellwood, Hilary Kate is an sole proprietor health care provider with primary practice located at 3188 S Lizella Rd , Lizella GA 31052-4123. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ellwood, Hilary Kate can be contacted via phone (478) 988-1865.Contact Information
Primary practice address
3188 S Lizella Rd
Lizella GA 31052-4123
Phone: (478) 988-1865
Fax: (478) 988-1869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 034822 | Georgia |
Profile Details
| NPI number | 1972608958 |
|---|---|
| LBN Legal business name | Ellwood, Hilary Kate |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1972608958 | NPPES |
| Georgia | MEDICAID | 00495019B |
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