Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LELAND CALVIN ELLIS JR., PA-C
ActiveMR. LELAND CALVIN ELLIS JR., PA-C is a Medical Physician Assistant healthcare provider located in WINTERVILLE, North Carolina. NPI 1386749695 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WINTERVILLE, NC
Registration Details
- NPI Number
- 1386749695
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2006 (19.878888586852 yrs)
- Last Updated
- Jun 3, 2008
- License
-
103962 (NC)
Practice Information
- Address
-
324A BEACON DRWINTERVILLE, NC, 285907956Browse NC providers · Browse ZIP 28590
- Phone
- 2525515595
- Fax
- 2523217762
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in WINTERVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| JOSEPH P BYRNE | PAC | 1003034745 |
| LESLIE C SEXTON | PA-C | 1811254436 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.