Healthcare Provider Details

I. General information

NPI: 1598152175
Provider Name (Legal Business Name): ELIZABETH PAIGE DARNELL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2015
Last Update Date: 03/17/2021
Certification Date: 03/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

906 COLLEGE AVE SW # C
LENOIR NC
28645-5428
US

IV. Provider business mailing address

4795 MOUNTAIN RUN DR
LENOIR NC
28645-9237
US

V. Phone/Fax

Practice location:
  • Phone: 828-757-5509
  • Fax:
Mailing address:
  • Phone: 812-531-9940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number209595
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: