Individual
DR. RICKIE WADE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 S QUEEN ST, KINSTON, NC 28501-4933
(252) 522-9800
(252) 523-9790
Mailing address
4300 SAPPHIRE CT STE 110, GREENVILLE, NC 27834-9079
(252) 830-7561
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
200101442
NC
Other
Enumeration date
07/03/2006
Last updated
11/28/2022
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