Individual
DR. AARON GREGORY ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9908 COULOAK DR, SUITE 202, CHARLOTTE, NC 28216-8678
(704) 801-3050
(704) 801-3026
Mailing address
PO BOX 601067, CHARLOTTE, NC 28260-1067
(704) 801-3050
(704) 801-3026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2004-00205
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2004-00205
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730154659
—
NC
05
—
5903142
—
NC
Enumeration date
02/22/2006
Last updated
11/22/2016
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