Whalio Doctors

NPI 1093878803

William John Ellis, ATC

Practitioner Rehabilitation Hospital Augusta, GA

Practice location

Address
3624 J Dewey Gray Cir STE 302 Doctors Hospital Sports Medicine, Augusta, GA 30909-6580
Phone
(706) 651-2270
Mailing address
2044 McDowell St, Augusta, GA 30904-4171

Registered specialties

Rehabilitation Hospital Primary
Hospitals Taxonomy 283X00000X Licence AT000706 (GA)

Registry record

NPI
1093878803
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Dec 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.