Organization
BRENT R. ELLMERS, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT R. ELLMERS MD (OWNER/PRESIDENT)
(910) 891-1056
Entity
Organization
Contact information
Practice address
700 TILGHMAN DRIVE, SUITE 718, DUNN, NC 28334-5519
(910) 891-1056
(910) 891-4896
Mailing address
700 TILGHMAN DRIVE, SUITE 718, DUNN, NC 28334-5519
(910) 891-1056
(910) 891-4896
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9801640
NC
Other
Enumeration date
02/06/2008
Last updated
02/07/2008
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