IRA KEITH ELLIS

MILAN, TN
NPI1922005388
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QA0401X Family Medicine, Addiction Medicine
(Licence: TN  38294)
Additional Taxonomies207Q00000X Family Medicine
(Licence: TN  38294)
Enumeration Date2005-06-30
Last Update Date2024-01-10
Business Address
IRA KEITH ELLIS MD
2084 W MAIN ST
MILAN, TN 38358-3515
Phone number: 615-673-6737
Mailing Address
IRA KEITH ELLIS MD
294 SUMMAR DR DEPT 289
JACKSON, TN 38301-3915
Phone number: 731-423-1932