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NPI Code Detail

MEDICARE: ELIZABETH VANDERGRIFF MD

MEDICARE:   ELIZABETH  VANDERGRIFF  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 Physician9500258NC

General Provider Information

NPI Number : 1972566735
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH VANDERGRIFF MD
Provider Business Mailing Address
First Line : 3600 NW CARY PKWY
Second Line :
City : CARY
State : NC
Zip : 27513-8444
Country : US
Telephone Number : 919-319-9219
Fax Number : 919-481-1716
Provider Business Practice Location Address
First Line : 110 PRESTON EXECUTIVE DR # A
Second Line :
City : CARY
State : NC
Zip : 27513-8447
Country : US
Telephone Number : 919-319-9219
Fax Number : 919-481-1716
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2006
Last Update Date : 06/09/2017

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Directions to “ ELIZABETH VANDERGRIFF MD” Practice Location

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