Individual
SANDRA M ELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6701B NC HIGHWAY 135, MAYODAN, NC 27027-8487
(336) 635-8616
(336) 635-6868
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
13352R
LA
207P00000X
Emergency Medicine Physician
Primary
38758
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1567248
—
LA
Enumeration date
08/31/2005
Last updated
05/07/2021
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