Individual
THOMAS S. ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4040 HIGHWAY 17 UNIT 301, MURRELLS INLET, SC 29576-5098
(843) 652-8205
(843) 652-8215
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
24839
SC
207XS0117X
Orthopaedic Surgery of the Spine Physician
97-00936
NC
207XS0117X
Orthopaedic Surgery of the Spine Physician
TL24839
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8910500
—
NC
05
—
Q08866
—
SC
Enumeration date
05/25/2006
Last updated
09/30/2025
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