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Individual

MR. JOSEPH WILLIAM ELLENDER IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2716 ASHTON DR, WILMINGTON, NC 28412-2489
(910) 332-3800
(910) 251-0421
Mailing address
325 WESTERN BLVD, JACKSONVILLE, NC 28546-6341
(910) 577-1555

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
11/10/2009
Last updated
02/20/2019
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