Individual
MR. WILLIAM JOHN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3624 J DEWEY GRAY CIR STE 302, DOCTORS HOSPITAL SPORTS MEDICINE, AUGUSTA, GA 30909-6580
(706) 651-2270
Mailing address
2044 MCDOWELL ST, AUGUSTA, GA 30904-4171
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
AT000706
GA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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