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NPI Verification

National Provider Identifier: 1205290087

James Luke Ellenburg, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Urology

Code: 208800000X

Primary

Practice Address

121 N 20TH ST STE 19

OPELIKA, AL 368015456

Phone: 334-749-8146

NPI Enumeration Date

April 7, 2016

NPI Number

1205290087

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
James Ellenburg, M.d. - NPI 1205290087 | Provider Verification | HormoneMap