Individual
DR. PAUL T ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
391 SERPENTINE DR, SUITE 500, SPARTANBURG, SC 29303-3083
(864) 585-8211
Mailing address
107 CLUB POINTE DR, SPARTANBURG, SC 29302-6313
(864) 582-7098
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
17866
SC
Other
Enumeration date
02/28/2006
Last updated
01/10/2008
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