Individual
ELLEN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 JAKE ALEXANDER BLVD W # 102103, SALISBURY, NC 28147-1384
(704) 519-2366
Mailing address
330 JAKE ALEXANDER BLVD W STE 103, SALISBURY, NC 28147-1385
(704) 519-2366
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0010-14226
NC
363A00000X
Physician Assistant
Primary
0010-14226
NC
Other
Enumeration date
05/09/2023
Last updated
07/30/2024
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