MILES WAYNE ELLIS

PHENIX CITY, AL
NPI1871510644
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  039782)
Enumeration Date2006-07-16
Last Update Date2007-07-09
Business Address
Dr. MILES WAYNE ELLIS MD
4401 RIVER CHASE DR EMERGENCY DEPT.
PHENIX CITY, AL 36867-7483
Phone number: 334-732-3000
Mailing Address
Dr. MILES WAYNE ELLIS MD
1705 CREST DR
COLUMBUS, GA 31906-3507
Phone number: 706-324-4065