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Individual

SARAH EISEN ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
647 DUNLOP LN, SUITE 305, CLARKSVILLE, TN 37040-5165
(931) 802-5515
(931) 802-5518
Mailing address
509 BILTMORE AVE, ASHEVILLE, NC 28801-4601

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2022-00823
NC
207L00000X
Anesthesiology Physician
Primary
52885
TN
207LP2900X
Pain Medicine (Anesthesiology) Physician
52885
TN
208VP0000X
Pain Medicine Physician
TP571
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/20/2009
Last updated
11/04/2022
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