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:
Health care specialties
| Specialty | Code | License # | 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 3 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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