Individual
DR. ELIZABETH ANNE EAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1331 NORTH ELM STREET, SUITE 200, GREENSBORO, NC 27401-6304
(336) 274-9617
(336) 482-2177
Mailing address
1331 NORTH ELM STREET, SUITE 200, GREENSBORO, NC 27401-6304
(336) 274-9617
(336) 482-2177
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
26437
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1080
PARTNERS
NC
01
—
1600340
UNITED HEALTHCARE
NC
01
—
29714
BLUE CROSS BLUE SHIELD
NC
01
—
300050401
RAILROAD MEDICARE
NC
01
—
70508
MEDCOST
NC
05
—
8929714
—
NC
Enumeration date
11/02/2005
Last updated
03/17/2014
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