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Tina R Ellison, PA-C
Physician Assistant in Palm Coast, Florida
NPI 1033196571

Tina R Ellison is a Physician Assistant based in Atlanta, FL. Tina R Ellison practices in Palm Coast, FL and has the professional credentials of PA-C. The NPI Number for Tina R Ellison is 1033196571 and holds a License No. 50-001637 (Florida).

The current practice location address for Tina R Ellison is 61 Memorial Medical Pkwy Ste 1-800A, Palm Coast, FL and can be reached out via phone at 386-302-1365.

Location: 61 Memorial Medical Pkwy Ste 1-800A, Palm Coast, FL, 30394-6383
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033196571
Provider Name
Tina R Ellison
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
61 Memorial Medical Pkwy Ste 1-800A, Palm Coast, FL, 30394-6383
Phone Number
386-302-1365
Fax Number
Provider Enumeration Date
12/27/2005
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000316099 01 OH ANTHEM
P00079777 01 OH RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
61 Memorial Medical Pkwy Ste 1-800A
City
Palm Coast
State
Florida
Zip
32164-5983
Phone Number
386-302-1365
Fax Number
person
Provider Business Mailing Address Details
Address
61 Memorial Medical Pkwy Ste 1-800A
City
Palm Coast
State
Florida
Zip
32164-5983
Phone Number
386-302-1365
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
50-001637 (Ohio)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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