Individual
MRS. CATHERINE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 272-7232
Mailing address
820 67TH AVE N #70244, MYRTLE BEACH, SC 29572
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
SC
Other
Enumeration date
06/08/2016
Last updated
09/06/2019
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