Jean Marie Laramore Ellis, PA-C
NPI #1356362404 in Statesville, North Carolina
Provider Information
- NPI Number
- 1356362404
- Entity Type
- Individual
- Name
- Jean Marie Laramore Ellis, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jul 22, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 208 OLD MOCKSVILLE RD
- City
- Statesville
- State
- North Carolina
- ZIP Code
- 28625-1930
- Phone
- (704) 838-8210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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