Ellis, Adrienne Charlene

Ellis, Adrienne Charlene is an individual health care provider with primary practice located at 2801 Woodruff Rd Ste 201 , Simpsonville SC 29681-4807. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Ellis, Adrienne Charlene can be contacted via phone (864) 849-3466.

Contact Information

Primary practice address
2801 Woodruff Rd Ste 201 Simpsonville SC 29681-4807
Phone: (864) 849-3466
Fax: (864) 849-9166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 116730 North Carolina
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 29737 South Carolina

Profile Details

NPI number 1528187556
LBN Legal business name Ellis, Adrienne Charlene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Dec 28th, 2020 - about 6 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1528187556 NPPES
South Carolina Other 198716 MEDCOST
South Carolina Other P00921760 MEDCOST
South Carolina MEDICAID 297379 MEDCOST
South Carolina Other AA18796162 MEDCOST
South Carolina MEDICAID 5907404 MEDCOST
South Carolina Other 7953931 MEDCOST

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