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ELISSA ANN BOLLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
13640 STEELECROFT PKWY, CHARLOTTE, NC 28278-7565
(704) 512-5500
Mailing address
608 MARSH RD, CHARLOTTE, NC 28209-1849
(336) 414-4041

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06990
NC

Other

Enumeration date
12/21/2016
Last updated
02/01/2017
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