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NPI Code Detail

MEDICARE: ELIZABETH PATRICIA COULTAS BLOWERS MD

MEDICARE:   ELIZABETH PATRICIA COULTAS BLOWERS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0000XHematology (Internal Medicine) PhysicianME177390FL
2390200000XStudent in an Organized Health Care Education/Training Program
3207RX0202XMedical Oncology PhysicianME177390FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417572280
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH PATRICIA COULTAS BLOWERS MD
Provider Business Mailing Address
First Line : 170 MANNING DRIVE
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27599-7305
Country : US
Telephone Number : 984-974-1000
Fax Number :
Provider Business Practice Location Address
First Line : 170 MANNING DRIVE
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27599-2055
Country : US
Telephone Number : 984-974-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2020
Last Update Date : 12/19/2025

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Directions to “ ELIZABETH PATRICIA COULTAS BLOWERS MD” Practice Location

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