Individual
DR. RANDALL E ELLIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2320 WILMA RUDOLPH BLVD, CLARKSVILLE, TN 37040-5821
(931) 645-1564
(931) 645-3842
Mailing address
2320 WILMA RUDOLPH BLVD, CLARKSVILLE, TN 37040-5821
(931) 645-1564
(931) 645-3842
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD27444
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4041098
BLUECROSS BLUESHIELD
TN
Enumeration date
06/06/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us