Individual
DR. ELISABETH MONTAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
218 OLD MOCKSVILLE RD, ANESTHESIA DEPT, STATESVILLE, NC 28625-1930
(704) 873-0281
Mailing address
PO BOX 651711, CHARLOTTE, NC 28265-1711
(704) 873-0281
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
34107
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
34107
NC
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
34107
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8960069
—
NC
Enumeration date
01/23/2006
Last updated
08/30/2022
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