Individual
DR. ELLIOTT JONATHAN VIZEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
708 HARTNESS RD, STATESVILLE, NC 28677-3425
(704) 924-9423
(704) 924-9419
Mailing address
708 HARTNESS RD, STATESVILLE, NC 28677-3425
(704) 924-9423
(704) 924-9419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9600416
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891054H
—
NC
Enumeration date
12/01/2005
Last updated
07/08/2007
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