Individual
COURTNEY ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8064 MARKET ST, WILMINGTON, NC 28411-0013
(910) 796-7767
(910) 686-7159
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-1540
(910) 431-4048
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
9117081
FL
Other
Enumeration date
06/17/2022
Last updated
03/27/2025
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