Ezra Daniel Ellis is an Anatomic Pathology & Clinical Pathology Physician based in Indianapolis, GA and is specialized in Anatomic Pathology & Clinical Pathology. Ezra Daniel Ellis practices in Gainesville, GA and has the professional credentials of MD. The NPI Number for Ezra Daniel Ellis is 1164602611 and holds a License No. M-10161 (Georgia).
The current practice location address for Ezra Daniel Ellis is 743 Spring St Ne, Gainesville, GA and can be reached out via phone at 770-219-1136 and via fax at 770-219-6204. You can also correspond with Ezra Daniel Ellis through the mailing address at PO BOX 3293, INDIANAPOLIS, IN - 46206-3293 (mailing address contact number: 317-614-9863).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010167581 | 01 | ID | REGENCE BLUESHIELD OF IDAHO |
| 77342 | 01 | ID | BLUECROSS OF IDAHO |
| 808087600 | 05 | ID |
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