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1326892175
ELLIS MICHAEL SHELLEY
FAIRHOPE, AL
NPI
1326892175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-16
Last Update Date
2024-04-16
Business Address
ELLIS MICHAEL SHELLEY MD
188 HOSPITAL DR STE 402
FAIRHOPE, AL 36532-2018
Phone number: 251-279-1245
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Mailing Address
ELLIS MICHAEL SHELLEY MD
188 HOSPITAL DR STE 402
FAIRHOPE, AL 36532-2018
Phone number: 251-279-1245
Copy
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