Individual
JAMES LUKE ELLENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 N 20TH ST STE 19, OPELIKA, AL 36801-5456
(334) 749-8146
Mailing address
121 N 20TH ST STE 19, OPELIKA, AL 36801-5456
(334) 749-8146
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD.36604
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2016
Last updated
11/01/2022
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