Ellis, Paul Devere
Ellis, Paul Devere is an individual health care provider with primary practice located at 11459 Johns Creek Pkwy Ste 250, Johns Creek GA 30097-3517. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ellis, Paul Devere can be contacted via phone (770) 497-1555.Contact Information
Primary practice address
11459 Johns Creek Pkwy Ste 250
Johns Creek GA 30097-3517
Phone: (770) 497-1555
Fax: (770) 497-9998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 041549 | Georgia |
Profile Details
| NPI number | 1740297811 |
|---|---|
| LBN Legal business name | Ellis, Paul Devere |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | May 5th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740297811 | NPPES |
| Georgia | MEDICAID | 00701918B |
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