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Chad Ellis
Medical Physician Assistant in Charlotte, North Carolina
NPI 1154889996

Chad Ellis is a Medical Physician Assistant based in Charlotte, NC and is specialized in Medical. Chad Ellis practices in Charlotte, NC. The NPI Number for Chad Ellis is 1154889996 and holds a License No. 0010-08882 (North Carolina).

The current practice location address for Chad Ellis is 6010 E W T Harris Blvd, Charlotte, NC and can be reached out via phone at 704-208-4134.

Location: 6010 E W T Harris Blvd, Charlotte, NC, 28215-4084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154889996
Provider Name
Chad Ellis
Credential
Provider Entity Type
Individual
Gender
Male
Address
6010 E W T Harris Blvd, Charlotte, NC, 28215-4084
Phone Number
704-208-4134
Fax Number
Provider Enumeration Date
03/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6010 E W T Harris Blvd
City
Charlotte
State
North Carolina
Zip
28215-4084
Phone Number
704-208-4134
Fax Number
person
Provider Business Mailing Address Details
Address
6010 E W T Harris Blvd
City
Charlotte
State
North Carolina
Zip
28215-4084
Phone Number
704-208-4134
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
0010-08882 (North Carolina)
Definition
Definition to come...
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