Mossaded, Ellis

Mossaded, Ellis is an individual health care provider with primary practice located at 2200 Old Hamilton Pl , Gainesville GA 30507-7892. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Mossaded, Ellis can be contacted via phone (770) 532-2066.

Contact Information

Primary practice address
2200 Old Hamilton Pl Gainesville GA 30507-7892
Phone: (770) 532-2066
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X P92721 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 74500 Georgia
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1790195261
LBN Legal business name Mossaded, Ellis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2014
Last updated Jul 1st, 2024 - about 4 months 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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