person
Mr. Michael C Ellis, MD
Diagnostic Radiology Physician in Goodlettsville, Tennessee
NPI 1033158191

Michael C Ellis is a Diagnostic Radiology Physician based in Goodlettsville, TN and is specialized in Diagnostic Radiology. Michael C Ellis practices in Goodlettsville, TN and has the professional credentials of MD. The NPI Number for Michael C Ellis is 1033158191 and holds a License No. MD11612 (Tennessee).

The current practice location address for Michael C Ellis is 3024 Business Park Cir, Goodlettsville, TN and can be reached out via phone at 615-851-6033 and via fax at 615-851-2018.

Location: 3024 Business Park Cir, Goodlettsville, TN, 37072-3132
person
Provider Profile Details
NPI Number
1033158191
Provider Name
Michael C Ellis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3024 Business Park Cir, Goodlettsville, TN, 37072-3132
Phone Number
615-851-6033
Fax Number
615-851-2018
Provider Enumeration Date
06/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300108651 01 TN RAILROAD MEDICARE
4200345 01 TN BCBS TN
1509264 01 TN MEDICAID - MTI
64918170 05 KY
3135920 01 TN BCBS
1509264 05 TN
3035616 05 TN
3031462 01 TN BCBS
4291338 01 TN BCBS - MTI
64918170 01 TN TRICARE
institution
Provider Business Practice Location Address Details
Address
3024 Business Park Cir
City
State
Zip
37072-3132
Phone Number
615-851-6033
Fax Number
615-851-2018
person
Provider Business Mailing Address Details
Address
3024 Business Park Cir
City
State
Zip
37072-3132
Phone Number
615-851-6033
Fax Number
615-851-2018
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
MD11612 (Tennessee)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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