Individual
MICHAEL R ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7557B DANNAHER DR STE 225, POWELL, TN 37849-3568
(865) 859-7330
(865) 859-7339
Mailing address
7557B DANNAHER DR STE 225, POWELL, TN 37849-3568
(865) 859-7330
(865) 859-7339
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD39944
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3332524
—
TN
Enumeration date
05/31/2006
Last updated
09/01/2020
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