Individual
PETER I ELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-4111
Mailing address
PO BOX 843257, BOSTON, MA 02284-3257
(910) 715-4111
(910) 715-4101
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101232927
VA
Other
Enumeration date
05/20/2007
Last updated
03/11/2013
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