Jack B. Ellis, D.O.
Internal Medicine · Augusta, GA
UnclaimedD.O.NPI 1003115254
- Primary taxonomy
- 207R00000X
- Enumerated
- 2011-03-26
- Practice location
- Augusta, GA
- Last NPPES update
- 2018-05-31
State licenses
- GA · Osteopathic physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.