Provider Demographics
NPI:1437156668
Name:CABINUM-FOELLER, ELAINE SHARON (MD)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:SHARON
Last Name:CABINUM-FOELLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3387
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28680-3387
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:810 ARENDELL ST
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-4235
Practice Address - Country:US
Practice Address - Phone:252-499-9598
Practice Address - Fax:828-639-8021
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200000739208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC370017586OtherRAILROAD MEDICARE
NC891260RMedicaid
NC1260ROtherBCBS NC
NC1260ROtherBCBS NC
NC891260RMedicaid