MEDICARE: DAVID A EELLS MD

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
1	208600000X	Surgery Physician	14177	WV

General Provider Information

NPI Number	:	1972506764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID A EELLS MD

Provider Business Mailing Address
First Line	:	330 FRANKLIN RD
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-3280
Country	:	US
Telephone Number	:	615-309-3300
Fax Number	:	615-309-3339

Provider Business Practice Location Address
First Line	:	320 JONES AVE
Second Line	:
City	:	OAK HILL
State	:	WV
Zip	:	25901-2909
Country	:	US
Telephone Number	:	304-469-2500
Fax Number	:	304-469-3399

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	07/08/2007

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