Individual
DUSTIN SMITH ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 WILSON PIKE CIR, SUITE 320, BRENTWOOD, TN 37027-5252
(615) 376-0034
(615) 376-3488
Mailing address
500 WILSON PIKE CIR, SUITE 320, BRENTWOOD, TN 37027-5252
(615) 376-0034
(615) 376-3488
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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