Individual provider · Type 1 NPI
Ira Keith Ellis, MD
Addiction Medicine (Family Medicine) Physician · Milan, TN
NPI number
1922005388
Active
Practice location
2084 W Main St
Milan, TN 38358-3515
Mailing address
294 Summar Dr, Dept 289
Jackson, TN 38301-3915
Other practice locations
- 73 White Bridge Rd # 103-243, Nashville, TN 37205-1444 · (731) 423-1932
- 3074 Creswell St, Milan, TN 38358-3500 · (615) 673-6737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 38294 (TN) |
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 38294 (TN) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
3 other providers at this address
About NPI 1922005388
Ira Keith Ellis, MD's National Provider Identifier is 1922005388, issued on Jun 30, 2005. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Milan, TN. The record was last updated on Jan 10, 2024.