Provider Demographics
NPI:1740393016
Name:MOTYKA, ELIZABETH G (MD)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:G
Last Name:MOTYKA
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 30696
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27833-0696
Mailing Address - Country:US
Mailing Address - Phone:252-353-7162
Mailing Address - Fax:252-353-1760
Practice Address - Street 1:727 EASTOWNE DR
Practice Address - Street 2:200-A
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2214
Practice Address - Country:US
Practice Address - Phone:919-401-4515
Practice Address - Fax:919-401-4514
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9400307207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8959981Medicaid
NC2198901Medicare ID - Type Unspecified
NCF82929Medicare UPIN