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1467468355
DARYL ELLIS
PHENIX CITY, AL
NPI
1467468355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AL 00018084)
Enumeration Date
2006-07-31
Last Update Date
2012-11-21
Business Address
-- DARYL ELLIS MD
5009 RIVER CHASE DR SUITE 500
PHENIX CITY, AL 36867-7425
Phone number: 334-448-9505
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Mailing Address
-- DARYL ELLIS MD
5009 RIVERCHASE DR SUITE 500
PHENIX CITY, AL 36867-7490
Phone number: 334-448-9505
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