Individual
JONTA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 S CHURCH ST STE 140I, ROCKY MOUNT, NC 27804-5755
(252) 765-4186
(252) 370-1575
Mailing address
524 LAKELAND ST, DURHAM, NC 27701-4508
(843) 439-2472
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
346094
NC
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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