Individual provider · Type 1 NPI

Jack Bradley Ellis, DO

Internal Medicine Physician · Augusta, GA

NPI number 1003115254 Active

Practice location

1120 15th St
Augusta, GA 30912

Call (706) 721-8623 Map

Mailing address

1499 Walton Way Ste 1400
Augusta, GA 30901-2603

Other practice locations

  • 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 · (253) 968-0208

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Internal Medicine Physician Primary 207R00000X072627 (GA)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

1,616 other providers at this address

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About NPI 1003115254

Jack Bradley Ellis, DO's National Provider Identifier is 1003115254, issued on Mar 26, 2011. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Augusta, GA. The record was last updated on May 31, 2018.