Provider Demographics
NPI:1962585513
Name:STANTON, ELIZABETH SHIRLEY (MD, MBA)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:SHIRLEY
Last Name:STANTON
Suffix:
Gender:F
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:129 MAYO ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-2573
Mailing Address - Country:US
Mailing Address - Phone:919-643-1739
Mailing Address - Fax:919-643-0902
Practice Address - Street 1:129 MAYO ST
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278
Practice Address - Country:US
Practice Address - Phone:919-643-1739
Practice Address - Fax:919-643-0902
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC379512084P0800X, 2084P0802X, 2084A0401X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry