Theresa Denise Ellis in Columbia - Pediatrics
Theresa Denise Ellis - NPI 1346310596
Theresa Denise Ellis is a Pediatrics in Columbia, South Carolina. Theresa Denise Ellis practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Theresa Denise Ellis is 1346310596. The last update date is 2007-07-08.
Theresa Denise Ellis's current location address is 202 Magnolia Bluff Dr, Columbia, South Carolina. You can contact this provider via phone number 8034197413. The mailing address for Theresa Denise Ellis is 202 Magnolia Bluff Dr, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa Denise Ellis |
|---|---|
| Address | 202 Magnolia Bluff Dr, Columbia, South Carolina |
| Phone Number | 8034197413 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1346310596 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 202 Magnolia Bluff Dr |
|---|---|
| City | Columbia |
| State | South Carolina (SC) |
| Post Code | 292297529 |
| Phone Number | 8034197413 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | 1007 |
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Post Comment/ Review Below
What is the unique identifier code issued to Theresa Denise Ellis by the Centers for Medicare & Medicaid Services (CMS)?
The Theresa Denise Ellis has been assigned the NPI (National Provider Identifier) 1346310596. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Theresa Denise Ellis's physical address?
The Theresa Denise Ellis is physically located at 202 Magnolia Bluff Dr, in the city of Columbia, SC, with the postal code 292297529.
What is Theresa Denise Ellis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Theresa Denise Ellis is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 225Xp0200X.
On what date did Theresa Denise Ellis receive its 1346310596 assignment from the Centers for Medicare & Medicaid Services?
The Theresa Denise Ellis was assigned its 1346310596 on 2006-11-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Theresa Denise Ellis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Theresa Denise Ellis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.