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Adrienne Charlene Ellis, MD
Gynecology Physician in Simpsonville, South Carolina
NPI 1528187556

Adrienne Charlene Ellis is a Gynecology Physician based in Atlanta, SC and is specialized in Gynecology. Adrienne Charlene Ellis practices in Simpsonville, SC and has the professional credentials of MD. The NPI Number for Adrienne Charlene Ellis is 1528187556 and holds a License No. 116730 (South Carolina).

The current practice location address for Adrienne Charlene Ellis is 2801 Woodruff Rd Ste 201, Simpsonville, SC and can be reached out via phone at 864-849-3466 and via fax at 864-849-9166.

Location: 2801 Woodruff Rd Ste 201, Simpsonville, SC, 30374-3070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528187556
Provider Name
Adrienne Charlene Ellis
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2801 Woodruff Rd Ste 201, Simpsonville, SC, 30374-3070
Phone Number
864-849-3466
Fax Number
864-849-9166
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
198716 01 SC MEDCOST
P00921760 01 SC RAILROAD MEDICARE
297379 05 SC
AA18796162 01 SC MEDICARE PIN
5907404 05 NC
7953931 01 SC AETNA
institution
Provider Business Practice Location Address Details
Address
2801 Woodruff Rd Ste 201
City
Simpsonville
State
South Carolina
Zip
29681-4807
Phone Number
864-849-3466
Fax Number
864-849-9166
person
Provider Business Mailing Address Details
Address
2801 Woodruff Rd Ste 201
City
Simpsonville
State
South Carolina
Zip
29681-4807
Phone Number
864-849-3466
Fax Number
864-849-9166
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
29737 (South Carolina)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
116730 (North Carolina)
Definition
Definition to come...
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