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Organization

MEDSTREAM PAIN SERVICES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH R ELLINGTON MD (PRESIDENT)
(828) 210-9386
Entity
Organization

Contact information

Practice address
615 RIDGE RD, ROXBORO, NC 27573-4629
(336) 503-5691
Mailing address
82 PATTON AVE, SUITE 510, ASHEVILLE, NC 28801-3319
(828) 210-9386
(828) 210-9388

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary

Other

Enumeration date
07/18/2013
Last updated
07/18/2013
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