Individual
DR. JOHN KENT ELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
2001 VAIL AVE, SUITE 200B, CHARLOTTE, NC 28207-1219
(704) 323-3616
(704) 323-3935
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2010-00602
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5914689
—
NC
Enumeration date
03/07/2007
Last updated
09/08/2010
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