Individual
ELIZABETH HART TISDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14 MEDICAL PARK DR, ASHEVILLE, NC 28803-2493
(828) 252-3366
(828) 258-0891
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
(828) 213-1500
(828) 651-6570
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102591
NC
363AS0400X
Surgical Physician Assistant
102591
NC
Other
Enumeration date
08/03/2006
Last updated
02/09/2022
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