Individual
DR. ELLEN C POLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., AU.D.
Contact information
Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
(252) 744-6104
(252) 744-6148
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
10571
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407283476
—
NC
01
—
19FU2
BCBS OF NC
NC
Enumeration date
10/04/2013
Last updated
02/28/2024
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