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1790986073
ELIZABETH ANNE SUPER
CHARLOTTE, NC
NPI
1790986073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NC 2010-01552)
Enumeration Date
2007-05-31
Last Update Date
2022-09-05
Business Address
ELIZABETH ANNE SUPER MD
425 S SHARON AMITY RD STE B
CHARLOTTE, NC 28211-2841
Phone number: 980-260-0900
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Mailing Address
ELIZABETH ANNE SUPER MD
3201 GLEN TER
CHARLOTTE, NC 28211-3494
Phone number: 704-430-8590
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