Elizabeth C Deterding
Critical Care Medicine
Medical Center Blvd
Winston Salem
, North Carolina 27157-0001
Elizabeth C Deterding
Critical Care Medicine
Medical Center Blvd
Winston Salem
, North Carolina 27157-0001
(336) 547-1801
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About
Features
Specialties
- Critical Care Medicine
Languages spoken
- English
Location
First Address
- Elizabeth C Deterding
- 520 N Elam Ave
- Greensboro, NC
- Zip : 27403-1127
- Phone : (336) 547-1801
Second Address
- Elizabeth C Deterding
- Medical Center Blvd
- Winston Salem, NC
- Zip : 27157-0001
- Phone : (336) 716-2255
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0200X | Critical Care Medicine | 9601589 | NC |
National Provider Identifier
| NPI | 1033187331 |
|---|---|
| Provider Name | Elizabeth C Deterding |
| First Address | Greensboro, NC 27403-1127 |
| Second Address | Winston Salem, NC 27157-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/03/2006 |
| Last Update Date | 27/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 129N5 | BCBS (01) | |
| 2005256000 | (05) | WV |
| 390008126 | RR MEDICARE (01) | |
| 43078 | PARTNERS (01) | |
| 5881447 | (05) | VA |
| 7644357 | AETNA (01) | |
| 89129N5 | (05) | NC |
| D0554 | MEDCOST (01) | |
| Q01589 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.