Healthcare Provider Details

I. General information

NPI: 1073455366
Provider Name (Legal Business Name): DRELISABETHMIDLIFE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 ARBORDALE AVE
HIGH POINT NC
27262-4626
US

IV. Provider business mailing address

PO BOX 5074
HIGH POINT NC
27262-5074
US

V. Phone/Fax

Practice location:
  • Phone: 336-688-3498
  • Fax:
Mailing address:
  • Phone: 336-916-3610
  • Fax: 336-360-3563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: ELISABETH MARIE STAMBAUGH
Title or Position: PHYSICIAN, OWNER, CEO
Credential: MD
Phone: 336-688-3498