Individual
DR. CHRISTOPHER RANDALL ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
VANDERBILT UNIVERSITY MEDICAL CTR, DIVISION OF CARDIOVASCULAR MEDICINE 383 PRB, NASHVILLE, TN 37232-0001
(615) 936-1713
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
035961
TN
207RC0000X
Cardiovascular Disease Physician
Primary
MD35961
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3250015
—
TN
Enumeration date
08/21/2006
Last updated
03/25/2022
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