Individual
DAVID ANDERSON ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1824 PISGAH DR, HENDERSONVILLE, NC 28791
(828) 698-5500
(828) 698-5503
Mailing address
800 N JUSTICE ST # 16, HENDERSONVILLE, NC 28791-3410
(828) 698-5500
(828) 698-5503
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31499
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160048115
RAILROAD MEDICARE
NC
01
—
30358
BLUE CROSS BLUE SHIELD
NC
05
—
8930358
—
NC
Enumeration date
09/16/2006
Last updated
08/10/2018
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