Individual
DR. GEORGE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
432 RANKIN DRIVE, MARION, NC 28752
(828) 652-1400
Mailing address
PO BOX 1000, OLD FORT, NC 28762-1000
(828) 659-7829
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14821
NC
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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