Individual
ELISABETH DOWLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5175 OLD CLEMMONS SCHOOL RD, CLEMMONS, NC 27012
(336) 718-3950
(336) 766-3691
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2019-00605
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2016
Last updated
10/26/2020
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