Mrs. Shannon M. Ellis PA-C
Physician Assistant in Southern Pines, NC(View on Map)
Full Name
Mrs. Shannon M Ellis PA-C
NPI Number
1841848678
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/26/2019
Specialties
(Taxonomies)Licenses
State
North Carolina
North Carolina
License Number
0010-09344
001009344
Contact
Information
Purpose
Mailing
Location
Address
200 PAVILION WAY
200 PAVILION WAY
City
Southern Pines
Southern Pines
State
NC
NC
Postal Code
28387-4561
28387-4561
Country
US
US
Telephone Number
N/A
(910) 235-3204
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/27/2023
Provider Address
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Dinah Oxendine P.A.
Whispering Pines, NCSpecialties: Physician Assistant (Primary)Medical Physician Assistant
Jennifer Pelletier PA-C, RD, CSSD, CSCS
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