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ELLIS, MATTHEW STEWART
Practice Address: SPARTANBURG FAMILY MEDICINE RESIDENCY PROGRAM
853 N CHURCH ST # 510
SPARTANBURG SC 29303

Address last updated on 11/4/2004
Phone #: (864) 560-6193
Fax #:
County: NOT OKLAHOMA
License: 24209
Dated: 11/4/2004
Expires: 11/1/2005
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Ross Univ, Sch of Med, Roseau, Dominica
Graduated: 5 / 2002
CME Year: 2007
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
SPARTANBURG FAMILY MEDICINE RESIDENCY PROGRAM
853 N CHURCH ST # 510
SPARTANBURG SC 29303

Phone #: (864) 560-6193
Fax #:

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