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Individual
DR. SEAN ALFRED ELLISON
Active
Individual
DR. SEAN ALFRED ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9501233
NC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
9501233
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12317
PARTNERS MEDICARE
NC
01
—
30469
BCBS NC
NC
01
—
5423138
AETNA
NC
01
—
60902
MEDCOST
NC
05
—
8930469
—
NC
Enumeration date
04/13/2006
Last updated
08/18/2021
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