Individual
MR. DALE EDWIN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 S STERLING ST, MORGANTON, NC 28655
(828) 433-2235
(828) 433-2491
Mailing address
304 SHADY REST ROAD, MORGANTON, NC 28655
(828) 439-8506
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100890
NC
Other
Enumeration date
08/08/2006
Last updated
05/23/2013
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