NPI 1295706166

Shannon Bolling Ellis, DO

Practitioner Public Health & General Preventive Medicine Physician Savannah, GA

Practice location

Address: 400 Mall Blvd STE G, Savannah, GA 31406-4820
Phone: (912) 644-5200
Fax: (912) 349-5691
Mailing address: 815 Oak Landing Rd, Jesup, GA 31546-1518

Registered specialties

Public Health & General Preventive Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0901X Licence 073702 (GA)

Other Preventive Medicine providers in Georgia →

Registry record

NPI: 1295706166
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jan 2006
Record last updated: 25 Jan 2021

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.