Individual
MR. CARROL WENDALL ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 EAST PARKER RD, MORGANTON, NC 28655
(828) 433-5700
(828) 433-5702
Mailing address
500 EAST PARKER RD, MORGANTON, NC 28655
(828) 433-5700
(828) 433-5702
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
19994
NC
208D00000X
General Practice Physician
Primary
19994
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8930648
—
NC
Enumeration date
06/24/2005
Last updated
03/17/2015
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