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1033158191
MICHAEL C ELLIS
GOODLETTSVILLE, TN
NPI
1033158191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: TN MD11612)
Enumeration Date
2006-06-05
Last Update Date
2011-11-30
Business Address
MR. MICHAEL C ELLIS M.D.
3024 BUSINESS PARK CIR
GOODLETTSVILLE, TN 37072-3132
Phone number: 615-851-6033
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Mailing Address
MR. MICHAEL C ELLIS M.D.
3024 BUSINESS PARK CIR
GOODLETTSVILLE, TN 37072-3132
Phone number: 615-851-6033
Copy
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