Organization
ALL CARE ASSOCIATED PROVIDER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE O ELLIS M.D. (PRESIDENT)
(704) 372-9393
Entity
Organization
Contact information
Practice address
700 S TORRENCE ST, SUITE 101, CHARLOTTE, NC 28204-2928
(704) 372-9393
(704) 372-0135
Mailing address
700 S TORRENCE ST, SUITE 101, CHARLOTTE, NC 28204-2928
(704) 372-9393
(704) 372-0135
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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