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Individual

MS. ELIZABETH C BANKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
101 HEART DR, ECU FAMILY MEDICINE, GREENVILLE, NC 27834-8982
(252) 744-4611
(252) 744-3201
Mailing address
PO BOX 751069, ECU PHYSICIANS, CHARLOTTE, NC 28275-1069

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1279
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18743
BCBS NC
NC
01
272916888
TRICARE
NC
05
6105270
NC
Enumeration date
06/03/2010
Last updated
06/02/2016
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