# C W ELLISON MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023047800
- **Authorized official:** DR. CARROL WENDALL ELLISON M.D. (OWNER)
- **Authorized official phone:** (828) 433-5700

## Contact information

- **Practice address:** 500 E PARKER RD, MORGANTON, NC 28655-5113
- **Practice address phone:** (828) 433-5700
- **Practice address fax:** (828) 433-5702
- **Mailing address:** 500 E PARKER RD, MORGANTON, NC 28655-5113
- **Mailing address phone:** (828) 433-5700
- **Mailing address fax:** (828) 433-5702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 19994 | NC | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 02/04/2013