Basic Information
Provider Information
NPI: 1538488838
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ELKINS-WILLIAMS
FirstName: RETURI
MiddleName: PRITI
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 97 CORNERSTONE DR
Address2:  
City: CARY
State: NC
PostalCode: 275198403
CountryCode: US
TelephoneNumber: 9194600993
FaxNumber: 9194813952
Practice Location
Address1: 97 CORNERSTONE DR
Address2:  
City: CARY
State: NC
PostalCode: 275198403
CountryCode: US
TelephoneNumber: 9194600993
FaxNumber: 9194813952
Other Information
ProviderEnumerationDate: 05/26/2010
LastUpdateDate: 06/18/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X2013-01170NCY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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