Ellis W Evans Sr Md Facs Pc

LBN: Ellis W Evans Sr Md Facs Pc
Ellis W Evans Sr Md Facs Pc is an health care organization with primary practice located at 770 Pine St Ste 220, Macon GA 31201-2173. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Ellis W Evans Sr Md Facs Pc can be contacted via phone (478) 475-1299, or through Evans, Ellis W via phone (478) 475-1299.

Contact Information

Primary practice address
770 Pine St Ste 220 Macon GA 31201-2173
Fax: (478) 475-0799
Website:
Authorized official contact:
Name: Evans, Ellis W Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 013745 Georgia

Profile Details

NPI number 1528222338
LBN Legal business name Ellis W Evans Sr Md Facs Pc
DBA Doing business as
Authorized official Evans, Ellis W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2008
Last updated Jul 11th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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