Individual
ELLISON HARGIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 MOTOR BOAT CLUB RD, GREENVILLE, SC 29611-6637
(336) 675-3115
Mailing address
500 MOTOR BOAT CLUB RD, GREENVILLE, SC 29611-6637
(336) 675-3115
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10288
SC
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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