Search › Arkansas › 171M00000X
Ellisjah Whaley
NPI 1861376642 · on the registry since 2025
Practice
- Address
- 920 Medical Dr
Manila, AR 72442 - Phone
- (870) 570-0358
- Fax
- (870) 570-0359
- Clinicians at this address
- 34
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas