Individual
ELENA M AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
120 BRAEMAR CT, PINEHURST, NC 28374-7207
(910) 295-5567
(910) 295-3315
Mailing address
1450 PROFESSIONAL PARK DR STE 150, WINSTON SALEM, NC 27103-1307
(336) 724-2434
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
102577
NC
363AM0700X
Medical Physician Assistant
Primary
102577
NC
Other
Enumeration date
09/13/2006
Last updated
02/15/2021
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