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Ellis, James

Debarred entity

Ellis, James is an entity of interest. It has not been found on international sanctions lists.

Type	Legal entity				[sources]
Name	ELLIS, JAMES · Ellis, James				[sources]
Legal form	not available				[sources]
Country	United States				[sources]
NPI	`1578566733`				[sources]
Sector	MD · Physician				[sources]
Status	not available				[sources]
Address	3000 Getwell Road Memphis, TN 38118 · 763 GLENWILD DRIVE, CANTON, MS 39046				[sources]
Last change	2024-11-08	Last processed	2024-12-17	First seen	2024-09-04

Address
Full address	Country
763 GLENWILD DRIVE, CANTON, MS 39046	United States

Sanctions
Authority	Program	Start date	End date
Mississippi Division of Medicaid	-	2019-04-30	-
New Jersey Office of the State Comptroller	-	2021-02-11	-

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

Source data IDs: us-medms-0c64dc6c035a96de7987dcacf01243961a70dff1 · us-mednj-39165ce71219a06baecda68619b87691932c4af3

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