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Organization
C W ELLISON MD PA
Active
Organization
C W ELLISON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARROL WENDALL ELLISON M.D. (OWNER)
(828) 433-5700
Entity
Organization
Contact information
Practice address
500 E PARKER RD, MORGANTON, NC 28655-5113
(828) 433-5700
(828) 433-5702
Mailing address
500 E PARKER RD, MORGANTON, NC 28655-5113
(828) 433-5700
(828) 433-5702
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
19994
NC
Other
Enumeration date
07/02/2006
Last updated
02/04/2013
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