Individual
ELIZABETH IVEY BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
417 N MAIN ST, KENANSVILLE, NC 28349-8801
(910) 275-0060
(910) 275-0162
Mailing address
PO BOX 278, KENANSVILLE, NC 28349-0278
(910) 275-0060
(910) 275-0162
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39546
NC
Other
Enumeration date
07/17/2006
Last updated
01/06/2022
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