Individual
ELIZABETH ANN ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 OBERLIN RD STE 200, RALEIGH, NC 27605-1351
(919) 322-4722
(919) 322-4729
Mailing address
815 OBERLIN RD STE 200, RALEIGH, NC 27605-1351
(919) 322-4722
(919) 322-4729
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004660
NC
Other
Enumeration date
07/07/2016
Last updated
08/08/2016
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