Mark I Ellen, MD
Mark I Ellen, MD is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Atlanta, Georgia. Practices as a sole proprietor. Licensed in California, Florida, Georgia and North Carolina and 2 more.
- Licensed in
- CA, FL, GA, NC, NJ, PA
- In the registry since
- 2006
- Specialties on file
- 7
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2108 Alexander Cir NEAtlanta, GA 30326-1246
Phone: (214) 952-3501
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence ME145025 (FL) |
|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | Taxonomy 2081S0010X · Licence 25MA06361300 (NJ) |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | Taxonomy 2081S0010X · Licence MD051555L (PA) |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | Taxonomy 2081S0010X · Licence 2005-01826 (NC) |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | Taxonomy 2081S0010X · Licence G71376 (CA) |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | Taxonomy 2081S0010X · Licence ME145025 (FL) |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | Taxonomy 2081S0010X · Licence 50578 (GA) |
Record details
| NPI number | 1720181951 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | September 6, 2006 |
| Last updated in NPPES | May 18, 2020 |
| Certification date | May 18, 2020 |
| Mailing address | 10435 Se 170th Pl, Summerfield, FL 34491-8998 |
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