ETHEN JAY ELLINGTON

CHARLOTTE, NC
NPI1962934117
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NC  227199)
Enumeration Date2017-03-28
Last Update Date2025-03-25
Business Address
ETHEN JAY ELLINGTON
1000 BLYTHE BLVD
CHARLOTTE, NC 28203-5812
Phone number: 704-355-3181
Mailing Address
ETHEN JAY ELLINGTON
1000 BLYTHE BLVD
CHARLOTTE, NC 28203-5812
Phone number: 704-355-3181