Individual
GREGORY CARL ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1224 EASTCHESTER DR, HIGH POINT, NC 27265-3116
(336) 481-1830
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35118
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8930633
—
NC
Enumeration date
05/31/2006
Last updated
02/01/2022
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