Provider Demographics
NPI:1538106638
Name:PEKAREK, ELIZABETH M (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:M
Last Name:PEKAREK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:284 EXECUTIVE PARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-1833
Mailing Address - Country:US
Mailing Address - Phone:704-939-1100
Mailing Address - Fax:704-939-1173
Practice Address - Street 1:110 W WALKER AVE
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-6760
Practice Address - Country:US
Practice Address - Phone:336-633-7000
Practice Address - Fax:336-625-3817
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2023-11-27
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Provider Licenses
StateLicense IDTaxonomies
NCNC337312084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1538106638OtherUNITED BEHAVIORAL HEALTH
NC66714OtherBCBSNC
NC2157229AOtherMEDICARE
NC891270AMedicaid
NC146912-000OtherMAGELLAN
NC1538106638OtherGATEWAY HEALTH