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NPI Code Detail

MEDICARE: ELLE MORRICAL DO

MEDICARE:   ELLE  MORRICAL  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician34.018463OH

General Provider Information

NPI Number : 1144963109
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLE MORRICAL DO
Provider Business Mailing Address
First Line : 979 E 3RD ST STE C720
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37403-3329
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11100 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number : 216-844-3506
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2022
Last Update Date : 06/16/2026

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Directions to “ ELLE MORRICAL DO” Practice Location

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