Doctor Name: | ADRIENNE CHARLENE ELLIS |
NPI Number: | 1528187556 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 116730 |
Business Practice Address: | 853 N Church St Suite 600 Spartanburg, SC - 293033098 |
Business Phone Number: | 8645834556 |
Business Fax Number: | 8645600625 |
Mailing Address: | Po Box 2168, SPARTANBURG |
State: | SC |
Postal Code: | 293042168 |
Phone Number: | 8645604304 |
Fax Number: | 8645604413 |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 07/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 116730 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |