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Individual

DR. JOE CAREY ELLINGTON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., M.D.

Contact information

Practice address
112 UNDERCLIFF TER, PRINCETON, WV 24740-2174
(304) 425-3800
(304) 487-3914
Mailing address
613 PIGEON ROOST TRL, PRINCETON, WV 24740-4247
(304) 487-6526
(304) 487-3914

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101232504
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
20877
WV
207V00000X
Obstetrics & Gynecology Physician
4301057671
MI
207V00000X
Obstetrics & Gynecology Physician
9500564
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1812228-000
WV
05
6202021
VA
Enumeration date
10/15/2006
Last updated
12/08/2007
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