IndividualActive
Charles Elliott, MD
NPI 1063482404 · Family Medicine Physician · Ripley, MS
Provider details
- NPI number
- 1063482404
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 05601 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1009 City Ave N
Suite a
Ripley, MS 38663-1414
Phone: (662) 837-1404
Fax: (662) 837-3760
Approximate (ZIP-level) locationGet directions
Mailing address
1009 City Ave N
Ripley, MS 38663-1414
Registry dates
- Enumerated
- 2006-01-26
- Last updated
- 2012-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.