# DAVID A. ELLIS, MD, PA

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

## Provider details

- **NPI number:** 1093811945
- **Authorized official:** DEANNA SHASTEEN ELLIS M.ED. (SECRETARY, OFFICE MANAGER)
- **Authorized official phone:** (828) 698-5500

## Contact information

- **Practice address:** 727 OAKLAND ST, HENDERSONVILLE, NC 28791-3647
- **Practice address phone:** (828) 698-5500
- **Practice address fax:** (828) 698-5503
- **Mailing address:** 727 OAKLAND ST, HENDERSONVILLE, NC 28791-3647
- **Mailing address phone:** (828) 698-5500
- **Mailing address fax:** (828) 698-5503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 31499 | NC | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 01/21/2010
