Individual
CHI JANE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3511 W MARKET ST, GREENSBORO, NC 27403-4443
(336) 522-8999
Mailing address
3511 W MARKET ST, GREENSBORO, NC 27403-4443
(336) 522-8999
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2017-01177
NC
207RP1001X
Pulmonary Disease Physician
Primary
2017-01177
NC
Other
Enumeration date
06/18/2013
Last updated
09/29/2023
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