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Individual

ELIZABETH A DEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6060 PIEDMONT ROW DR S FL 7, CHARLOTTE, NC 28287
(704) 489-3094
Mailing address
5950 FAIRVIEW RD STE 330, CHARLOTTE, NC 28210-2108
(704) 495-6334
(704) 817-7219

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31801
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110229134
MEDICARE RAILROAD
01
28014
BCBS OF NC
NC
05
8928014
NC
05
N31801
SC
Enumeration date
07/18/2006
Last updated
10/08/2018
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