Elizabeth Ellen Tilt
Pediatrician Adolescent Medicine
136 Gateway Blvd Ste A
Mooresville
, North Carolina 28117-5608
Elizabeth Ellen Tilt
Pediatrician Adolescent Medicine
136 Gateway Blvd Ste A
Mooresville
, North Carolina 28117-5608
(704) 799-1627
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Elizabeth Ellen Tilt
- 136 Gateway Blvd Ste A
- Mooresville, NC
- Zip : 28117-5608
- Fax : (704) 799-1627
- Phone : (704) 799-2878
Second Address
- Elizabeth Ellen Tilt
- 136 Gateway Blvd Ste A
- Mooresville, NC
- Zip : 28117-5608
- Fax : (704) 799-1627
- Phone : (704) 799-2878
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 95-00744 | NC |
| N | 2080A0000X | Adolescent Medicine | 95-00744 | NC |
National Provider Identifier
| NPI | 1073566014 |
|---|---|
| Provider Name | Elizabeth Ellen Tilt |
| First Address | Mooresville, NC 28117-5608 |
| Second Address | Mooresville, NC 28117-5608 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2006 |
| Last Update Date | 24/07/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8983534 | (05) | NC |
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.