Provider Demographics
NPI:1649251505
Name:ABELLA, ERLINDA B (MD)
Entity type:Individual
Prefix:DR
First Name:ERLINDA
Middle Name:B
Last Name:ABELLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 N ELLIS ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-4216
Mailing Address - Country:US
Mailing Address - Phone:704-637-5401
Mailing Address - Fax:704-637-5095
Practice Address - Street 1:118 N ELLIS ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-4216
Practice Address - Country:US
Practice Address - Phone:704-637-5401
Practice Address - Fax:704-637-5095
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC23100207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8910032Medicaid
D62853Medicare UPIN
202100Medicare ID - Type Unspecified