Howard Ross Ellis
Pediatrician
665 Duluth Hwy Ste 920
Lawrenceville
, Georgia 30046
Howard Ross Ellis
Pediatrician
665 Duluth Hwy Ste 920
Lawrenceville
, Georgia 30046
(470) 325-0191
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Howard Ross Ellis
- Po Box 1170
- Lawrenceville, GA
- Zip : 30046-1170
- Fax : (470) 325-0191
- Phone : (470) 325-0159
Second Address
- Howard Ross Ellis
- 665 Duluth Hwy Ste 920
- Lawrenceville, GA
- Zip : 30046
- Phone : (678) 312-5250
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 50159 | GA |
National Provider Identifier
| NPI | 1013063445 |
|---|---|
| Provider Name | Howard Ross Ellis |
| First Address | Lawrenceville, GA 30046-1170 |
| Second Address | Lawrenceville, GA 30046 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/01/2007 |
| Last Update Date | 26/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000908432A | (05) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.