Provider Demographics
NPI:1295026250
Name:CLAYBORNE, ELIZABETH PHILLIPS (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:PHILLIPS
Last Name:CLAYBORNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:MAUREEN
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7825 BROWNS BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20777-9557
Mailing Address - Country:US
Mailing Address - Phone:919-672-3730
Mailing Address - Fax:
Practice Address - Street 1:12410 MILESTONE CENTER DR
Practice Address - Street 2:SUITE 225
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-7101
Practice Address - Country:US
Practice Address - Phone:301-994-0039
Practice Address - Fax:301-973-0484
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-26
Last Update Date:2017-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0077875207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine