Healthcare Provider Details

I. General information

NPI: 1427316124
Provider Name (Legal Business Name): ELIZABETH COVIELLO DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2012
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4225 MACON POND RD
RALEIGH NC
27607-6320
US

IV. Provider business mailing address

4225 MACON POND RD
RALEIGH NC
27607-6320
US

V. Phone/Fax

Practice location:
  • Phone: 919-205-2505
  • Fax: 919-205-2595
Mailing address:
  • Phone: 919-205-2505
  • Fax: 919-205-2595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0102205190
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: