Individual
MR. DAVID E ELLIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3506 W TYVOLA RD, CHARLOTTE, NC 28208-7201
(704) 329-1300
Mailing address
4548 TREE HAVEN CT, GASTONIA, NC 28056-8742
(336) 255-0660
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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