Individual
DR. ELIZABETH BASS DAUGHTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
700 TILGHMAN DR, SUITE 722, DUNN, NC 28334-0007
(910) 892-3338
(910) 892-2706
Mailing address
103 PARKWAY OFFICE CT., SUITE 100, CARY, NC 27518
(910) 892-3338
(910) 892-2706
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
489
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081CC
BCBS
NC
05
—
5903964
—
NC
Enumeration date
05/05/2006
Last updated
06/25/2015
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