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Dr. Mark Frederick Ellison, MD
Urology Physician in Athens, Georgia
NPI 1265431092

Mark Frederick Ellison is a Urology Physician based in Athens, GA. Mark Frederick Ellison practices in Athens, GA and has the professional credentials of MD. The NPI Number for Mark Frederick Ellison is 1265431092 and holds a License No. 026107 (Georgia).

The current practice location address for Mark Frederick Ellison is 2142 W Broad St, Athens, GA and can be reached out via phone at 706-612-9401 and via fax at 706-612-9410.

Location: 2142 W Broad St, Athens, GA, 30604-6127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265431092
Provider Name
Mark Frederick Ellison
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2142 W Broad St, Athens, GA, 30604-6127
Phone Number
706-612-9401
Fax Number
706-612-9410
Provider Enumeration Date
07/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000370994F 05 GA
institution
Provider Business Practice Location Address Details
Address
2142 W Broad St
City
Athens
State
Georgia
Zip
30606-3506
Phone Number
706-612-9401
Fax Number
706-612-9410
person
Provider Business Mailing Address Details
Address
2142 W Broad St
City
Athens
State
Georgia
Zip
30606-3506
Phone Number
706-612-9401
Fax Number
706-612-9410
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
026107 (Georgia)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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