Individual
MRS. MEG WILLIAMS ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2244 BOONES CREEK RD, JOHNSON CITY, TN 37615-4432
(423) 753-4000
(423) 753-4004
Mailing address
PO BOX 5278, JOHNSON CITY, TN 37602-5278
(423) 753-4000
(423) 753-4004
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1941
TN
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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