Individual
MADELINE R ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
214 E MAIN ST STE 100, GALLATIN, TN 37066-3031
(615) 686-2346
(615) 535-0230
Mailing address
1009 WINDEMERE DR, GALLATIN, TN 37066-2247
(985) 237-9149
(615) 535-0230
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
51141
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q005652
—
TN
Enumeration date
07/09/2008
Last updated
03/21/2024
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