Individual
WINSTON LEON ELLISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14 MCDOWELL ST, ASHEVILLE, NC 28801-4104
(828) 255-3749
(828) 254-9925
Mailing address
DEPT 453 PO BOX 1000, MEMPHIS, TN 38148-0001
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
21399
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366433898
—
NC
01
—
202157F
MEDICARE PTAN
NC
Enumeration date
11/03/2005
Last updated
06/02/2022
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