Individual
JOHN ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2695 HENDERSONVILLE RD STE 204, ARDEN, NC 28704-8576
(828) 687-8647
(828) 684-6891
Mailing address
2695 HENDERSONVILLE RD STE 204, ARDEN, NC 28704-8576
(828) 687-8647
(286) 846-8918
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2021-02933
NC
Other
Enumeration date
05/04/2016
Last updated
01/02/2025
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