Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 4183 | AL |
NPI | 1700829827 |
---|---|
Provider Name | Dr. Ellen Andrews Ovson |
First Address | Madison, AL 35758-9601 |
Second Address | Madison, AL 35758-9601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 28/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009932742 | (05) | AL |
01620810 | (05) | MS |
C73832 | (02) | MS |