Individual
ELLYN PEARSON MULLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1022 SHELTON AVE, STATESVILLE, NC 28677-6826
(704) 768-2088
(704) 768-2081
Mailing address
1022 SHELTON AVE, STATESVILLE, NC 28677-6826
(704) 768-2088
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
37919
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8966391
—
NC
Enumeration date
08/22/2006
Last updated
02/17/2012
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