# ELIZABETH MARY WALLIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023344025
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 35842 | SC | Yes |
| 208000000X | Pediatrics Physician | MD439393 | PA | — |
| 208000000X | Pediatrics Physician | MT190583 | PA | — |

## Other

- **Enumeration date:** 10/26/2009
- **Last updated:** 10/14/2020