Individual
NANCY HALLIGAN ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1139 LEXINGTON AVE, SAVANNAH, GA 31404-5502
(912) 303-4200
(912) 790-2702
Mailing address
1139 LEXINGTON AVE, SAVANNAH, GA 31404-5502
(912) 303-4200
(912) 790-2702
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007191
GA
Other
Enumeration date
06/10/2014
Last updated
02/05/2016
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