Individual
ELIZABETH RESTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6127 HIGHWAY 16 S, DENVER, NC 28037-9220
(704) 483-0340
(704) 483-8217
Mailing address
6127 S HWY 16, DENVER, NC 28037-9220
(704) 483-0340
(704) 483-8217
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD423434
PA
207Q00000X
Family Medicine Physician
Primary
2009-01671
NC
207Q00000X
Family Medicine Physician
MD423434
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5912991
—
NC
01
—
P00787981
RAILROAD MEDICARE
NC
Enumeration date
01/23/2006
Last updated
03/02/2010
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