Individual
ELYSE RAE KOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 N ELM ST, HIGH POINT, NC 27262-4331
(336) 878-6000
Mailing address
601 N ELM ST, HIGH POINT, NC 27262-4331
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0010-12422
NC
363A00000X
Physician Assistant
Primary
0010-12422
NC
Other
Enumeration date
08/17/2022
Last updated
09/26/2022
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