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Individual

GEORGE S. ELLIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 HENRY CLAY AVE, SUITE 3106, NEW ORLEANS, LA 70118-5720
(504) 896-9426
(504) 896-9312
Mailing address
200 HENRY CLAY AVE, SUITE 3106, NEW ORLEANS, LA 70118-5720
(504) 896-9426
(504) 896-9312

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
014253
LA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
014253
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1331660
LA
Enumeration date
06/12/2006
Last updated
07/03/2025
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