Madeline R Ellis MD

NPI 1699938688 - Pediatrics - 208000000X

NPI Details
NPI 1699938688
Gender Female
Enumeration Date 07/09/2008
Last Updated 11/03/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
711 E MAIN ST
SUITE 107
HENDERSONVILLE TN, 37075-2740, US
Phone (615) 686-2346
Fax (615) 535-0230
Business Location
711 E MAIN ST
SUITE 107
HENDERSONVILLE TN, 37075-2740, US
Phone (615) 686-2346
Fax (615) 865-5831
Toxanomy
Taxonomy Code 208000000X
License State Mississippi
License Number 21509
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According to our database, Madeline R Ellis MD NPI is 1699938688, taxonomy code is 208000000X and license number is 21509, license state is located at Mississippi. Madeline R Ellis MD physically located at 711 E Main St, Hendersonville TN, 37075-2740. NPI Number Madeline R Ellis MD has the Individual type.

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1699938688 NPI number is provided on an as is basis without warranty of any kind. 1699938688 is maintained by the National Plan & Provider Enumeration System. The contents of Madeline R Ellis MD are for informational purposes only.