Ellen Christine Hibberts, PA
NPI #1245801851 in Lake Wylie, South Carolina
Provider Information
- NPI Number
- 1245801851
- Entity Type
- Individual
- Name
- Ellen Christine Hibberts, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Jul 6, 2021
- Last Updated
- Nov 1, 2022
Practice Location
- Address
- 1201 VILLAGE HARBOR DR STE 104
- City
- Lake Wylie
- State
- South Carolina
- ZIP Code
- 29710-9276
- Phone
- (803) 831-6859
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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