Individual
ELIZABETH JACLYN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27710-4699
(919) 684-8111
Mailing address
2301 ERWIN RD, DURHAM, NC 27710-4699
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
217703
NC
Other
Enumeration date
03/31/2016
Last updated
06/03/2016
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