Organization
ELLISON & ASSOCIATES OF RALEIGH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAXLYN LAVIE ELLISON MD (PRESIDENT & CHIEF EXEC OFF)
(919) 872-5220
Entity
Organization
Contact information
Practice address
2920 HIGHWOODS BLVD, SUITE 127, RALEIGH, NC 27604-1015
(919) 872-5220
(919) 872-5770
Mailing address
2920 HIGHWOODS BLVD, SUITE 127, RALEIGH, NC 27604-1015
(919) 872-5220
(919) 872-5770
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
05/11/2007
Last updated
07/21/2008
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