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NPI Code Detail

MEDICARE: ELIZABETH R DEWEY MD

MEDICARE: ELIZABETH R DEWEY 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
1207Q00000XFamily Medicine Physician200300141NC

General Provider Information

NPI Number : 1730141805
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH R DEWEY MD
Provider Business Mailing Address
First Line : 4125 LAWNDALE DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-1885
Country : US
Telephone Number : 336-543-0786
Fax Number : 336-234-5411
Provider Business Practice Location Address
First Line : 4125 LAWNDALE DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-1885
Country : US
Telephone Number : 336-543-0786
Fax Number : 336-234-5411
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 09/06/2022

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Directions to “ ELIZABETH R DEWEY MD” Practice Location

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