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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CARROL WENDALL ELLISON, MD

Active Sole Proprietor

MR. CARROL WENDALL ELLISON, MD is a General Practice healthcare provider located in MORGANTON, North Carolina. NPI 1912903774 is currently active in the NPPES registry. Verify at CMS.

General Practice · MORGANTON, NC

Registration Details

NPI Number
1912903774
Provider Type
Individual
Gender
Male
NPI Issued
Jun 24, 2005 (21.160008880676 yrs)
Last Updated
Mar 17, 2015
Licenses
19994 (NC)
19994 (NC)
Sole Proprietor
Yes

Practice Information

Address
500 EAST PARKER RD
MORGANTON, NC, 28655
Browse NC providers · Browse ZIP 28655
Phone
8284335700
Fax
8284335702
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice
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.