# DR. GREGORY TAYLOR ELLISON JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528326667
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 078538 | GA | Yes |
| 2086S0129X | Vascular Surgery Physician | 51428 | SC | — |

## Other

- **Enumeration date:** 04/26/2012
- **Last updated:** 09/13/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003193042A | — | GA |
| 05 | — | GA2141 | — | SC |