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Individual

ELIZABETH MCNEILL BUNTING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DSC, PA-C

Contact information

Practice address
226 N FRONT ST., #129, WILMINGTON, NC 28401-3920
(910) 469-4690
(910) 933-7084
Mailing address
2697 ST JAMES DR, SOUTHPORT, NC 28461-8553
(910) 469-4690
(910) 933-7084

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001000817
NC
363AM0700X
Medical Physician Assistant
001000817
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
001000817
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8101306
NC
Enumeration date
03/19/2007
Last updated
07/03/2024
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