Individual
ELIZABETH BEATRICE BALTARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1614 NC HIGHWAY 56, CREEDMOOR, NC 27522-8297
(919) 575-6103
(919) 575-6817
Mailing address
1614 HIGHWAY 56, CREEDMOOR, NC 27522-8297
(919) 575-6103
(919) 575-6817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015-00992
NC
Other
Enumeration date
04/27/2012
Last updated
07/21/2022
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