Individual
ELIZABETH GRACE JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3024 NEW BERN AVE, RALEIGH, NC 27610-1247
(919) 350-7844
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2016-00692
NC
390200000X
Student in an Organized Health Care Education/Training Program
182692
NC
Other
Enumeration date
05/23/2012
Last updated
03/01/2021
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