person
Dr. James Lee Ellis, MD
Diagnostic Radiology Physician in Jackson, Tennessee
NPI 1275500597

James Lee Ellis is a Diagnostic Radiology Physician based in Jackson, TN and is specialized in Diagnostic Radiology. James Lee Ellis practices in Jackson, TN and has the professional credentials of MD. The NPI Number for James Lee Ellis is 1275500597 and holds a License No. 16362 (Tennessee).

The current practice location address for James Lee Ellis is 620 Skyline Drive, Jackson, TN and can be reached out via phone at 731-541-6174 and via fax at 731-541-8008.

Location: 620 Skyline Drive, Jackson, TN, 38308-0132
person
Provider Profile Details
NPI Number
1275500597
Provider Name
James Lee Ellis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
620 Skyline Drive, Jackson, TN, 38308-0132
Phone Number
731-541-6174
Fax Number
731-541-8008
Provider Enumeration Date
03/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4102603 01 BCBS
300056938 01 RR MEDICARE
3058561 01 BCBS
3018989 05 TN
3328436 05 TN
3328435 05 TN
institution
Provider Business Practice Location Address Details
Address
620 Skyline Drive
City
State
Zip
38301
Phone Number
731-541-6174
Fax Number
731-541-8008
person
Provider Business Mailing Address Details
Address
620 Skyline Drive
City
State
Zip
38301
Phone Number
731-541-6174
Fax Number
731-541-8008
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
16362 (Tennessee)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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