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Individual

ELZIA RENA BROUSSARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3000 ROGERS RD STE 210, WAKE FOREST, NC 27587-5745
(919) 385-2120
(919) 385-2144
Mailing address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2022-00924
NC

Other

Enumeration date
04/09/2019
Last updated
01/19/2024
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