Individual
MATTHEW NIGEL HUGH ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-3520
(336) 716-9253
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-9253
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2023-00461
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
03/26/2020
Last updated
06/28/2023
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