Ellington, Mariana Alyn

Ellington, Mariana Alyn is an individual health care provider with primary practice located at 1446 Fern Creek Dr , Statesville NC 28625-9376. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Ellington, Mariana Alyn can be contacted via phone (704) 873-9617.

Contact Information

Primary practice address
1446 Fern Creek Dr Statesville NC 28625-9376
Phone: (704) 873-9617
Fax: (704) 761-6985
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2023-01553 North Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 11257 Georgia

Profile Details

NPI number 1447712005
LBN Legal business name Ellington, Mariana Alyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2019
Last updated Aug 10th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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