Green, James Ellis

Green, James Ellis is an individual health care provider with primary practice located at 526 Pearl Nix Parkway Suite #103, Gainesville GA 30501. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Green, James Ellis can be contacted via phone (770) 535-7978.

Contact Information

Primary practice address
526 Pearl Nix Parkway Suite #103 Gainesville GA 30501
Phone: (770) 535-7978
Fax: (770) 535-8050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X G027200 Georgia

Profile Details

NPI number 1871709840
LBN Legal business name Green, James Ellis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jul 8th, 2007 - about 17 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 1871709840 NPPES
Georgia MEDICAID D0330448A

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