Organization
ELCO ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CORTNEY SHANTRES ELLIS FNP (AUTHORIZED OFFICIAL)
(864) 356-4598
Entity
Organization
Contact information
Practice address
300 BRITTANY PARK, ANDERSON, SC 29621-1565
(864) 356-4598
Mailing address
300 BRITTANY PARK, ANDERSON, SC 29621-1565
(864) 356-4598
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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