Individual
DR. ELIZABETH LEE MIZELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
400 US 70 HIGHWAY E, GARNER, NC 27529-4049
(919) 235-6400
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015-00659
NC
207Q00000X
Family Medicine Physician
Q0098
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902151970
—
NC
Enumeration date
07/17/2012
Last updated
09/19/2024
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