Individual
DR. ZACHARY DIMITRI ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4996
(662) 377-2539
(662) 377-2920
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
(662) 377-3204
(662) 377-2057
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33630
MS
Other
Enumeration date
03/25/2022
Last updated
07/07/2025
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