Individual provider · Type 1 NPI

Ellis Michael Shelley, MD

Student in an Organized Health Care Education/Training Program · Fairhope, AL

NPI number 1326892175 Active

Practice location

188 Hospital Dr Ste 402
Fairhope, AL 36532-2018

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1326892175

Ellis Michael Shelley, MD's National Provider Identifier is 1326892175, issued on Apr 16, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fairhope, AL. The record was last updated on Apr 16, 2024.