Search › South Carolina › 363A00000X
Tina Ellis, PA
NPI 1053648436 · on the registry since 2009
Practice
- Address
- 4969 Centre Pointe Dr
Ste 100
North Charleston, SC 29418 - Phone
- (843) 853-0250
- Fax
- (843) 606-8103
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina