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Individual

DR. ELIZABETH ROYSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 343-7597
(910) 815-5489
Mailing address
PO BOX 602172, CHARLOTTE, NC 28260-2172
(704) 512-4808

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26240
NC
207RX0202X
Medical Oncology Physician
26420
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8989708
NC
05
Q26420
SC
Enumeration date
07/26/2006
Last updated
11/02/2009
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