Individual
DR. MARGARETT CONKLIN ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 890-3514
Mailing address
PO BOX 2876, MOULTRIE, GA 31776-2876
(229) 890-3514
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
62837
GA
207VX0201X
Gynecologic Oncology Physician
ME128607
FL
Other
Enumeration date
07/10/2005
Last updated
09/04/2025
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