Individual
ELIS FEYZIEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-2413
Mailing address
723 GLEN HOLLOW DR, DURHAM, NC 27705-5676
(925) 818-4121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
03/31/2026
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