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1790785756
JARED S ELLIS
TUSCALOOSA, AL
NPI
1790785756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AL 17418)
Enumeration Date
2005-07-29
Last Update Date
2022-09-01
Business Address
JARED S ELLIS MD
2201 JACK WARNER PKWY
TUSCALOOSA, AL 35401-1090
Phone number: 205-523-5618
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Mailing Address
JARED S ELLIS MD
2201 JACK WARNER PKWY
TUSCALOOSA, AL 35401-1090
Phone number: 205-523-5618
Copy
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