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Contact Information

ROSEGENEE M ELLIS, MD
1514 VERNON RD
LAGRANGE, GA30240-4131
 Phone: 770-793-7899
 Fax: 770-793-7856
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROSEGENEE M ELLIS · (Female)

NPI Number 1669570321
Status Active
Credentials MD
Entity Individual
Enumeration date 09/20/2006
Last updated 09/06/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 062836
  • GA License # 62836
Hospital affiliation(s) Not Available
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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