Carrol Wendall Ellison in Morganton - General Practice

Carrol Wendall Ellison - NPI 1912903774

Carrol Wendall Ellison is a General Practice in Morganton, North Carolina. Carrol Wendall Ellison practices all healthcare services and medical treatments related to General Practice. The NPI Number for Carrol Wendall Ellison is 1912903774. The last update date is 2015-03-17.

Carrol Wendall Ellison's current location address is 500 East Parker Rd, Morganton, North Carolina. You can contact this provider via phone number 8284335700 and fax number 8284335702. The mailing address for Carrol Wendall Ellison is 500 East Parker Rd, Morganton, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Carrol Wendall Ellison
Address 500 East Parker Rd, Morganton, North Carolina
Phone Number 8284335700
Fax Number 8284335702
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1912903774
Provider Enumeration Date 2005-06-24
Last Updated Date 2015-03-17

Provider Mailing Address Detail

Address 500 East Parker Rd
City Morganton
State North Carolina (NC)
Post Code 28655
Phone Number 8284335700
Fax Number 8284335702

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 19994
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8930648 NC --

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FAQs about Carrol Wendall Ellison

What is the unique 10-digit identification code assigned to Carrol Wendall Ellison by the Centers for Medicare & Medicaid Services?

The Carrol Wendall Ellison has been issued the NPI (National Provider Identifier) 1912903774, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Carrol Wendall Ellison?

The Carrol Wendall Ellison is physically situated at 500 East Parker Rd, in the city of Morganton, state of NC, with the postal code 28655.

What is Carrol Wendall Ellison's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Carrol Wendall Ellison is General Practice, and the taxonomy code that classifies this field of practice is 208D00000X.

On what date did the Carrol Wendall Ellison receive the assignment of its 1912903774 from the Centers for Medicare & Medicaid Services?

The Carrol Wendall Ellison was issued its 1912903774 by the Centers for Medicare & Medicaid Services on 2005-06-24.

As of what date were the details pertaining to Carrol Wendall Ellison last refreshed?

The information related to the Carrol Wendall Ellison, including its address, specialty, and other relevant details, was last updated on 2015-03-17.

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