Jody D Ellison is a Family Medicine in Columbia, South Carolina. Jody D Ellison practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jody D Ellison is 1891745980. The last update date is 2012-01-12.
Jody D Ellison's current location address is 1520 Laurel St, Columbia, South Carolina. You can contact this provider via phone number 8037998407 and fax number 8032529070. The mailing address for Jody D Ellison is 1520 Laurel St, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jody D Ellison |
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Address | 1520 Laurel St, Columbia, South Carolina |
Phone Number | 8037998407 |
Fax Number | 8032529070 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1891745980 |
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Provider Enumeration Date | 2006-05-11 |
Last Updated Date | 2012-01-12 |
Provider Mailing Address Detail
Address | 1520 Laurel St |
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City | Columbia |
State | South Carolina (SC) |
Post Code | 292012623 |
Phone Number | 8037998407 |
Fax Number | 8032529070 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 20390 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
FQC030 | SC | -- | |
FQC043 | SC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jody D Ellison?
The Jody D Ellison has been issued the NPI (National Provider Identifier) 1891745980 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Jody D Ellison?
The Jody D Ellison is situated at 1520 Laurel St, in the city of Columbia, state of SC, with the zip code 292012623.
What is Jody D Ellison's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jody D Ellison is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1891745980 to Jody D Ellison?
The Jody D Ellison received its 1891745980 assignment from the Centers for Medicare & Medicaid Services on 2006-05-11.
As of what date were the Jody D Ellison's details last updated?
The information pertaining to the Jody D Ellison, including its address, specialty, and other details, was most recently updated on 2012-01-12.