Wintergreen Medical Center, Pllc

NPI #1225238009 in Winterville, North Carolina

Provider Information

NPI Number
1225238009
Entity Type
Organization
Organization Name
Wintergreen Medical Center, Pllc
Subpart
Yes (part of a larger organization)
Parent Organization
WINTERGREEN MEDICAL CENTER, PLLC
Primary Specialty
Clinic/Center
Enumeration Date
Jul 20, 2007
Last Updated
Feb 18, 2016

Practice Location

Address
324A BEACON DR
ZIP Code
28590-7956
Phone
(252) 551-5595

Authorized Official

Name
LELAND CALVIN ELLIS, PA-C
Title
OWNER
Phone
(252) 551-5595

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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