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Individual
DR. JIM PATRICK ELLISON
Active
Individual
DR. JIM PATRICK ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32955
AL
207RN0300X
Nephrology Physician
Primary
2021-00081
NC
Other
Enumeration date
06/29/2012
Last updated
08/10/2023
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