Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 2016-01461 | NC |
NPI | 1184980252 |
---|---|
Provider Name | Dr. Patrick S Ellsworth |
First Address | Chapel Hill, NC 27599 |
Second Address | Chapel Hill, NC 27514-4220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2012 |
Last Update Date | 23/01/2019 |