Individual
DR. JOHN A ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
718 N FRASER ST, GEORGETOWN, SC 29440-3353
(843) 545-9292
Mailing address
162 MIDWAY DR, PAWLEYS ISLAND, SC 29585-5294
(843) 457-4773
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10241
SC
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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