Individual
DR. MATTHEW D ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3480 WAKE FOREST RD STE 404, RALEIGH, NC 27609-7376
(919) 862-5730
(919) 862-5733
Mailing address
3480 WAKE FOREST RD STE 404, RALEIGH, NC 27609-7376
(919) 862-5730
(919) 862-5733
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A67446
CA
Other
Enumeration date
09/22/2006
Last updated
12/27/2021
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