Individual
MR. CHRISTOPHER ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
116 MIMOSA DR, THOMASVILLE, GA 31792-6605
(229) 584-5570
(229) 551-8697
Mailing address
116 MIMOSA DR, THOMASVILLE, GA 31792-6605
(229) 584-5570
(229) 551-8697
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN178005
GA
363L00000X
Nurse Practitioner
Primary
RN178005
GA
Other
Enumeration date
08/15/2019
Last updated
11/13/2023
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