Brent R. Ellmers, MD

NPI #1871771360 in Dunn, North Carolina

Provider Information

NPI Number: 1871771360
Entity Type: Organization
Organization Name: Brent R. Ellmers, MD
Primary Specialty: Specialist
Enumeration Date: Feb 6, 2008
Last Updated: Feb 7, 2008

Practice Location

Address: 700 TILGHMAN DRIVE
Address 2: SUITE 718
City: Dunn
State: North Carolina
ZIP Code: 28334-5519
Phone: (910) 891-1056

Authorized Official

Name: DR. BRENT R. ELLMERS, MD
Title: OWNER/PRESIDENT
Phone: (910) 891-1056

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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