Organization
ADAM ELLIS, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM ELLIS MD (OWNER)
(270) 726-8090
Entity
Organization
Contact information
Practice address
1623 NASHVILLE ST, SUITE 106, RUSSELLVILLE, KY 42276-8889
(270) 726-8090
(270) 726-9008
Mailing address
1623 NASHVILLE ST, SUITE 106, RUSSELLVILLE, KY 42276-8889
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39576
TN
Other
Enumeration date
09/20/2006
Last updated
02/24/2009
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