Michael Holland Ellis
ASSOCIATES IN SURGERY PA


Address: 2361 Cypress Cir, Conway, SC 29526-8921
Phone: 8433477291

Michael Holland Ellis (NPI# 1992701676, PAC ID# 2163597139) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.

Physician Overview

Nation Provider ID (NPI) 1992701676
PAC ID by PECOS 2163597139
Professional Enrollment ID I20100924000918
Full Name Michael Holland Ellis
Organization Legal Name ASSOCIATES IN SURGERY PA
Address 2361 Cypress Cir
Conway
SC 29526-8921
Phone Number 8433477291
Gender M
Medical School MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year 1978
Primary Specialty GENERAL SURGERY
Group Practice PAC ID 2264507235
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
2361 Cypress Cir, Conway, SC 29526-8921 8433477291 ASSOCIATES IN SURGERY PA
4367 Riverwood Dr, Suite 210, Murrells Inlet, SC 29576-4368 8433477291 ASSOCIATES IN SURGERY PA

Organization Information

Organization Legal Name ASSOCIATES IN SURGERY PA
Physicians 1

Office Location

Street Address 2361 CYPRESS CIR
City CONWAY
State SC
Zip 29526-8921

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Competitor

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City CONWAY
Zip Code 29526
Specialty GENERAL SURGERY
City + Specialty CONWAY + GENERAL SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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