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Individual

MRS. ELISABETH ANN HEISER STUP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2706 MEDICAL OFFICE PLACE, GOLDSBORO, NC 27534
(919) 734-4736
(919) 580-1017
Mailing address
2706 MEDICAL OFFICE PLACE, GOLDSBORO, NC 27534
(919) 734-4736
(919) 580-1017

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2014-00454
NC

Other

Enumeration date
04/08/2011
Last updated
03/07/2023
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