Individual
DR. ELIZABETH FAIRCLOTH ROSTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 PROVIDENCE RD STE 100, CHARLOTTE, NC 28207-1242
(704) 333-9113
(704) 333-9757
Mailing address
130 PROVIDENCE RD STE 100, CHARLOTTE, NC 28207-1242
(704) 333-9113
(704) 333-9757
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
9700237
NC
Other
Enumeration date
10/13/2006
Last updated
07/02/2013
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