Elizabeth Ellen Tilt
M.D. | Pediatrics | Female
Elizabeth Ellen Tilt, M.D. is a Mooresville, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Elizabeth Ellen Tilt is
136 Gateway Blvd Ste A, Mooresville, North Carolina - 28117-5608. She can be contacted on phone at
704-799-2878 and fax number 704-799-1627.
Elizabeth Ellen Tilt is a sole proprietor of her business.
NPI number (Unique professional ID) for Elizabeth Ellen Tilt is
1073566014 which was assigned by NPPES on 19 May, 2006 and it was last updated on 24 Jul, 2013.
Elizabeth Ellen Tilt license number is
95-00744 for Pediatrics (208000000X) in North Carolina.
Elizabeth Ellen Tilt is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Elizabeth Ellen Tilt basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Elizabeth Ellen Tilt |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Elizabeth Ellen Tilt address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 136 Gateway Blvd Ste A
Mooresville, NC, 28117-5608
United States |
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| Phone Number : | 704-799-2878 |
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| Fax Number : | 704-799-1627 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1073566014 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 May, 2006 |
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| Last Updated On : | 24 Jul, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elizabeth Ellen Tilt are as mentioned. Primary taxonomy code for Elizabeth Ellen Tilt, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | No | 95-00744 | NC |
| 208000000X | Pediatrics | Yes | 95-00744 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Elizabeth Ellen Tilt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 8983534 | MEDICAID | NC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 136 Gateway Blvd Ste A
Mooresville, NC, 28117-5608
United States |
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| Phone Number : | 704-799-2878 |
|---|
| Fax Number : | 704-799-1627 |
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Business Location:
Patients can refer following map for directions to
Elizabeth Ellen Tilt practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.