MARK L. ELLIS

COLUMBUS, MS
NPI1598791535
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: MS  13170)
Enumeration Date2006-06-23
Last Update Date2010-03-02
Business Address
MARK L. ELLIS MD
2520 5TH ST N
COLUMBUS, MS 39705-2008
Phone number: 662-244-1000
Mailing Address
MARK L. ELLIS MD
PO BOX 7695
COLUMBUS, MS 39705-0026
Phone number: 662-328-2476
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