Individual
DR. ROBERT GARETH ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 403-1430
Mailing address
PO BOX 2000, CONCORD, NC 28026-2000
(704) 403-1430
(704) 403-1158
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
201201284
NC
207LA0401X
Addiction Medicine (Anesthesiology) Physician
201201284
NC
Other
Enumeration date
06/29/2007
Last updated
02/22/2022
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