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Mr. Leland Calvin Ellis JR., PA-C
Medical Physician Assistant in Winterville, North Carolina
NPI 1386749695

Leland Calvin Ellis JR. is a Medical Physician Assistant based in Grimesland, NC and is specialized in Medical. Leland Calvin Ellis JR. practices in Winterville, NC and has the professional credentials of PA-C. The NPI Number for Leland Calvin Ellis JR. is 1386749695 and holds a License No. 103962 (North Carolina).

The current practice location address for Leland Calvin Ellis JR. is 324A Beacon Dr, Winterville, NC and can be reached out via phone at 252-551-5595 and via fax at 252-321-7762.

Location: 324A Beacon Dr, Winterville, NC, 27837-8999
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386749695
Provider Name
Leland Calvin Ellis JR.
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
324A Beacon Dr, Winterville, NC, 27837-8999
Phone Number
252-551-5595
Fax Number
252-321-7762
Provider Enumeration Date
09/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
324A Beacon Dr
City
Winterville
State
North Carolina
Zip
28590-7956
Phone Number
252-551-5595
Fax Number
252-321-7762
person
Provider Business Mailing Address Details
Address
324A Beacon Dr
City
Winterville
State
North Carolina
Zip
28590-7956
Phone Number
252-551-5595
Fax Number
252-321-7762
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
103962 (North Carolina)
Definition
Definition to come...
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