Individual
THOMAS S. ELLISON
Active
Individual
THOMAS S. ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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