Individual provider · Type 1 NPI
Carolyn Ellis
Medical Physician Assistant · Dickson, TN
NPI number
1104291533
Active
Practice location
1904 Highway 46 S, Suite 3
Dickson, TN 37055-7744
Mailing address
2203 Sandra Dr
Nashville, TN 37210-5031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 2879 (TN) |
| Medical Physician Assistant | 363AM0700X | 1087 (AL) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Dickson
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- Jeffrey D. Kauppi, PAMedical Physician Assistant Dickson, TN NPI 1720081821
- Heather Coates, P.A.-CMedical Physician Assistant Dickson, TN NPI 1992740682
About NPI 1104291533
Carolyn Ellis's National Provider Identifier is 1104291533, issued on Dec 10, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dickson, TN. The record was last updated on Dec 10, 2015.