Justin D. Ellis, P.A. Valid NPI

Individual provider · Physician Assistant · Hickory, NC

NPI

1972566651

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

102909 (NC)

Sex

Male

Sole proprietor

No

Enumerated

2006-04-11

Last updated

2015-06-03