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1619954948
MADGE ELLIS
SALEM, VA
NPI
1619954948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: VA 0101229254)
Enumeration Date
2005-12-28
Last Update Date
2020-11-12
Business Address
Dr. MADGE ELLIS M.D.
1898 BRAEBURN DR
SALEM, VA 24153-7301
Phone number: 540-772-3008
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Mailing Address
Dr. MADGE ELLIS M.D.
1898 BRAEBURN DR
SALEM, VA 24153-7301
Phone number: 540-772-3008
Copy
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