Individual
DR. CHAD R ELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687
Mailing address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2003-01223
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1355E
BCBS
NC
05
—
1992784409
—
NC
05
—
891355E
—
NC
05
—
N01229
—
SC
Enumeration date
01/12/2006
Last updated
11/28/2018
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