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Ira Keith Ellis, MD
Addiction Medicine (Family Medicine) Physician in Milan, Tennessee
NPI 1922005388

Ira Keith Ellis is an Addiction Medicine (Family Medicine) Physician based in Jackson, TN and is specialized in Addiction Medicine. Ira Keith Ellis practices in Milan, TN and has the professional credentials of MD. The NPI Number for Ira Keith Ellis is 1922005388 and holds a License No. 38294 (Tennessee).

The current practice location address for Ira Keith Ellis is 2084 W Main St, Milan, TN and can be reached out via phone at 615-673-6737. You can also correspond with Ira Keith Ellis through the mailing address at 294 SUMMAR DR, JACKSON, TN - 38301-3915 (mailing address contact number: 731-423-1932).

Location: 2084 W Main St, Milan, TN, 38301-3915
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Provider Profile Details
NPI Number
1922005388
Provider Name
Ira Keith Ellis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2084 W Main St, Milan, TN, 38301-3915
Phone Number
615-673-6737
Fax Number
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
34018 01 TN TLC
626001636 01 TN UNITED HEALTHCARE
4101718 01 TN BLUE CROSS BLUE SHIELD
5657408 01 TN CIGNA
3823013 05 TN
626001636 01 TN USA MANAGED CARE
P00277818 01 TN RAILROAD MEDICARE
4124210 01 BCBS
626001636 01 TN HEALTH PARTNERS
166981 01 TN UNISON
3895527 05 TN
institution
Provider Business Practice Location Address Details
Address
2084 W Main St
City
State
Zip
38358-3515
Phone Number
615-673-6737
Fax Number
person
Provider Business Mailing Address Details
Address
294 Summar Dr
City
State
Zip
38301-3915
Phone Number
731-423-1932
Fax Number
731-410-0367
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
38294 (Tennessee)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
License No.
38294 (Tennessee)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
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