| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | ELISABETH M. ROBERTSON · ELISABETH MONTAGUE | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1811967011 | [sources] | |||
| Status | not available | [sources] | |||
| Address | STATESVILLE, NC 28625 | [sources] | |||
| Last change | Last processed | First seen | |||
Service providers who have been terminated for cause from North Carolina's Medicaid and other Health Programs.
United States · NC Medicaid Division of Health Benefits
us-mednc-f0148827fd8b4107d7467b83f56bc20950b195df · us-mednc-d403ad9692b9a629f3bc33ce6b35fccc19d7b555For experts: raw data explorer
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| United States | NC Medicaid Division of Health Benefits | - | - |