Individual
ELIZABETH ELLEN TILT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
95-00744
NC
208000000X
Pediatrics Physician
Primary
9500744
NC
2080A0000X
Pediatric Adolescent Medicine Physician
95-00744
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8983534
—
NC
Enumeration date
05/19/2006
Last updated
09/09/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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