Individual
ELIZABETH EIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 PARKWOOD MEDICAL PARK, ELKIN, NC 28621-2487
(336) 526-7997
Mailing address
827 ZEPHYR MOUNTAIN PARK RD, STATE ROAD, NC 28676-8825
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5022281
NC
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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