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Contact Information

PAUL D ELLIS, MD
11459 JOHNS CREEK PKWY
STE 250
JOHNS CREEK, GA30097-3517
 Phone: 770-497-1555
 Fax: 770-497-9998
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PAUL D ELLIS · (Male)

NPI # 1740297811
Status Active
Credentials MD
Entity Individual
Enumeration date 08/02/2006
Last updated 05/05/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 041549
  • GA Medicaid 00701918B
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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