Search › West Virginia › 367500000X
Matthew Ellison
NPI 1992446215 · on the registry since 2022
Practice
- Address
- 100 Angus E Peyton Dr
South Charleston, WV 25303 - Phone
- (304) 746-2500
- Clinicians at this address
- 19
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-20
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 West Virginia