Provider Demographics
NPI:1962742445
Name:ELZEY, ELIZABETH DEERING (L AC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:DEERING
Last Name:ELZEY
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 MCDOWELL RD
Mailing Address - Street 2:
Mailing Address - City:MILLS RIVER
Mailing Address - State:NC
Mailing Address - Zip Code:28759-2545
Mailing Address - Country:US
Mailing Address - Phone:828-301-7684
Mailing Address - Fax:
Practice Address - Street 1:2704 GREENVILLE HWY
Practice Address - Street 2:SUITE B
Practice Address - City:FLAT ROCK
Practice Address - State:NC
Practice Address - Zip Code:28731-0446
Practice Address - Country:US
Practice Address - Phone:828-698-5225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC708171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist