Individual
ELLEN MAE GAUDLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
195 W ILLINOIS AVE, SOUTHERN PINES, NC 28387-5808
(910) 692-2444
Mailing address
13001 E 17TH PL, AURORA, CO 80045-2570
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2024-01860
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2021
Last updated
07/09/2024
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