CHAD ELLIS

CHARLOTTE, NC
NPI1154889996
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: NC  0010-08882)
Enumeration Date2019-03-12
Last Update Date2022-03-01
Business Address
CHAD ELLIS
6010 E W T HARRIS BLVD
CHARLOTTE, NC 28215-4084
Phone number: 704-208-4134
Mailing Address
CHAD ELLIS
6010 E W T HARRIS BLVD
CHARLOTTE, NC 28215-4084
Phone number: 704-208-4134
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