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Larry Ellis
NPI 1124499405 · on the registry since 2015
Practice
- Address
- 2664 S Harper Rd
Corinth, MS 38834 - Phone
- (662) 287-4055
- Organisation at this address
- Region Iv Mental Health Services-Alcorn Children'S
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 37
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Male
- Record last updated
- 2015-10-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi