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Individual

DR. BENJAMIN EDWIN ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
110 29TH AVE N, SUITE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
(615) 327-7940
Mailing address
110 29TH AVE N, SUITE 202, NASHVILLE, TN 37203-1401
(615) 327-4301
(615) 327-7940

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
52894
TN
207L00000X
Anesthesiology Physician
MD-41837
IA

Other

Enumeration date
05/17/2010
Last updated
07/09/2015
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