Search › Georgia › 208100000X
Mark Ellen, M.D
NPI 1720181951 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2108 Alexander Cir Ne
Atlanta, GA 30326 - Phone
- (214) 952-3501
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Also registered as
- 2081S0010X
2081S0010X
2081S0010X
2081S0010X
2081S0010X
2081S0010X - Licence states on file
- NJ, PA, NC, CA, FL, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-05-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia