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Ellis Wall
NPI 1578189270 · on the registry since 2020
Practice
- Address
- 2008 Moore Rd
Matthews, NC 28105 - Phone
- (877) 407-3422
- Fax
- (877) 407-4329
- Clinicians at this address
- 26
Additional practice sites
- 136 Corporate Park Dr, Mooresville, NC
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-30
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 North Carolina