ETHEN ELLINGTON

CHARLOTTE, NC
NPI1962934117
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NC  227199)
Enumeration Date2017-03-28
Last Update Date2017-03-28
Business Address
-- ETHEN ELLINGTON
1000 BLYTHE BLVD
CHARLOTTE, NC 28203-5812
Phone number: 704-355-3181
Mailing Address
-- ETHEN ELLINGTON
1000 BLYTHE BLVD
CHARLOTTE, NC 28203-5812
Phone number: 704-355-3181
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