Ellis, Shannon Bolling

Ellis, Shannon Bolling is an individual health care provider with primary practice located at 400 Mall Blvd Ste G , Savannah GA 31406-4820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Ellis, Shannon Bolling can be contacted via phone (912) 644-5200.

Contact Information

Primary practice address
400 Mall Blvd Ste G Savannah GA 31406-4820
Phone: (912) 644-5200
Fax: (912) 349-5691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 073702 Georgia

Profile Details

NPI number 1295706166
LBN Legal business name Ellis, Shannon Bolling
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jan 25th, 2021 - about 5 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.

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