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Individual

DR. ELISE LORAINE STEPHENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
521 MOYE BLVD, GREENVILLE, NC 27834-2849
(252) 744-1600
(252) 744-1115
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0101268189
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2022-01289
NC
207RN0300X
Nephrology Physician
0101268189
VA
207RN0300X
Nephrology Physician
2022-01289
NC

Other

Enumeration date
03/28/2016
Last updated
03/07/2024
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