Individual
MR. DANNY RALPH ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
120 EAST KINGSTON AVENUE, CHARLOTTE, NC 28203
(704) 375-2587
(704) 333-4429
Mailing address
120 EAST KINGSTON AVENUE, CHARLOTTE, NC 28203
(704) 375-2587
(704) 333-4429
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
335E00000X
NC
Other
Enumeration date
08/05/2007
Last updated
02/09/2010
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