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Individual
DR. MARGARET ANN ELLIS
Active
Individual
DR. MARGARET ANN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
046620
GA
2080P0006X
Developmental - Behavioral Pediatrics Physician
31692
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003125717C
—
GA
05
—
003205914A
—
GA
Enumeration date
06/09/2009
Last updated
05/26/2020
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