Individual provider · Type 1 NPI

Mark Frederick Ellison, MD

Urology Physician · Athens, GA

NPI number 1265431092 Active

Practice location

2142 W Broad St, Building 200, Suite 200
Athens, GA 30606-3506

Fax (706) 612-9410

Mailing address

PO Box 6127
Athens, GA 30604-6127

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X026107 (GA)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1265431092

Mark Frederick Ellison, MD's National Provider Identifier is 1265431092, issued on Jul 14, 2005. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Athens, GA. The record was last updated on Mar 7, 2023.