Moore, Lee Ellis
Moore, Lee Ellis is an individual health care provider with primary practice located at 501 Baptist Dr Ste 220 , Madison MS 39110-2031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Moore, Lee Ellis can be contacted via phone (601) 985-9120.Contact Information
Primary practice address
501 Baptist Dr Ste 220
Madison MS 39110-2031
Phone: (601) 985-9120
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 209770 | North Carolina |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 34523 | Oklahoma |
Profile Details
| NPI number | 1699156950 |
|---|---|
| LBN Legal business name | Moore, Lee Ellis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2015 |
| Last updated | Jul 2nd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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