Individual provider · Type 1 NPI
Ellen Christine Hibberts, PA
Medical Physician Assistant · Lake Wylie, SC
NPI number
1245801851
Active
Practice location
1201 Village Harbor Dr Ste 104
Lake Wylie, SC 29710-9276
Mailing address
PO Box 744786
Atlanta, GA 30374-4786
Other practice locations
- 104 Rustic Hills Cir, Bessemer City, NC 28016-9545 · (704) 689-8189
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
2 other providers at this address
About NPI 1245801851
Ellen Christine Hibberts, PA's National Provider Identifier is 1245801851, issued on Jul 6, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lake Wylie, SC. The record was last updated on Nov 1, 2022.