Individual
DR. ELLEN HAILEMELECOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
11010 S TRYON ST, SUITE 101, CHARLOTTE, NC 28273-0106
(980) 245-3451
Mailing address
11010 S TRYON ST, SUITE 101, CHARLOTTE, NC 28273-0106
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10494
NC
Other
Enumeration date
08/06/2015
Last updated
10/19/2016
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