Ellison, Tambrea Toylett
Ellison, Tambrea Toylett is an individual health care provider with primary practice located at 900 Eagles Landing Pkwy , Stockbridge GA 30281-7343. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Ellison, Tambrea Toylett can be contacted via phone (770) 997-0600.Contact Information
Primary practice address
900 Eagles Landing Pkwy
Stockbridge GA 30281-7343
Phone: (770) 997-0600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | LL30874 | South Carolina |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 69187 | Georgia |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 69187 | Georgia |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 69187 | Georgia |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 69187 | Georgia |
Profile Details
| NPI number | 1306005202 |
|---|---|
| LBN Legal business name | Ellison, Tambrea Toylett |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2008 |
| Last updated | Dec 7th, 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 | 1306005202 | NPPES |
| Georgia | MEDICAID | 003137503B | |
| Georgia | MEDICAID | 003137503F | |
| Georgia | MEDICAID | 003137503D | |
| Georgia | MEDICAID | 003137503A | |
| Georgia | MEDICAID | 003137503C | |
| Georgia | MEDICAID | 003137503E |
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