Individual
JAMES JUNIOR ELLERBE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
911 MILES RD, SUMMERVILLE, SC 29485-8744
(315) 955-9374
Mailing address
911 MILES RD, SUMMERVILLE, SC 29485-8744
(315) 955-9374
Taxonomy
Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
Primary
3614
SC
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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