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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Ellis, James | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1578566733 | [sources] | |||
| Sector | MD · Physician | [sources] | |||
| Address | 3000 Getwell Road Memphis, TN 38118 · 763 GLENWILD DRIVE, CANTON, MS 39046 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
Service providers who have been terminated for cause from Mississippi's Medicaid program.
United States · Mississippi Division of Medicaid
us-medms-0c64dc6c035a96de7987dcacf01243961a70dff1 · us-medms-39d7890a657bc4647799cd782c82cd6d8f81699f · us-mednj-39165ce71219a06baecda68619b87691932c4af3For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | New Jersey Office of the State Comptroller | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| 763 GLENWILD DRIVE, CANTON, MS 39046 | United States | |
| United States | Mississippi Division of Medicaid | - | - |