Dunk A. Ellis is a Family Medicine in Moss Point, Mississippi. Dunk A. Ellis practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Dunk A. Ellis is 1043342322. The last update date is 2020-01-06.
Dunk A. Ellis's current location address is 3736 Main St, Moss Point, Mississippi. You can contact this provider via phone number 2284742212 and fax number 2284756271. The mailing address for Dunk A. Ellis is 3736 Main St, Moss Point, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dunk A. Ellis |
|---|---|
| Address | 3736 Main St, Moss Point, Mississippi |
| Phone Number | 2284742212 |
| Fax Number | 2284756271 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1043342322 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2020-01-06 |
Provider Mailing Address Detail
| Address | 3736 Main St |
|---|---|
| City | Moss Point |
| State | Mississippi (MS) |
| Post Code | 395635108 |
| Phone Number | 2284742212 |
| Fax Number | 2284756271 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 12710 |
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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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 113221 | MS | -- |
Post Comment/ Review Below
What is the Dunk A. Ellis's 1043342322?
The Dunk A. Ellis's NPI (National Provider Identifier) Number is 1043342322. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Dunk A. Ellis located?
The Dunk A. Ellis is located at 3736 Main St, Moss Point, MS 395635108.
What is Dunk A. Ellis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dunk A. Ellis is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1043342322 to Dunk A. Ellis?
The Dunk A. Ellis received its 1043342322 assignment from the Centers for Medicare & Medicaid Services on 2007-03-12.
As of what date was the information pertaining to Dunk A. Ellis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dunk A. Ellis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-01-06.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC