ROBERT ELLISON

MEMPHIS, TN
NPI1245725035
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TN  10785)
Enumeration Date2018-06-25
Last Update Date2018-06-25
Business Address
ROBERT ELLISON
113 HARBOR TOWN SQ STE 203
MEMPHIS, TN 38103-8890
Phone number: 901-453-6081
Mailing Address
ROBERT ELLISON
279 QUINN RD
COLLIERVILLE, TN 38017-3004
Phone number: 770-714-4233