Dr. G Paul Eleazer
Internist Geriatric Medicine
2 Medical Park Rd Suite 502
Columbia
, South Carolina 29203-6808
Dr. G Paul Eleazer
Internist Geriatric Medicine
2 Medical Park Rd Suite 502
Columbia
, South Carolina 29203-6808
(803) 255-3451
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About
Features
Specialties
- Internist
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. G Paul Eleazer
- 15 Medical Park Rd Suite 300
- Columbia, SC
- Zip : 29203-8003
- Fax : (803) 255-3451
- Phone : (803) 255-3422
Second Address
- Dr. G Paul Eleazer
- 2 Medical Park Rd Suite 502
- Columbia, SC
- Zip : 29203-6808
- Fax : (803) 255-3451
- Phone : (803) 540-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 12974 | SC |
| N | 111NI0900X | Internist | 12974 | SC |
| Y | 207RG0300X | Geriatric Medicine | 12974 | SC |
National Provider Identifier
| NPI | 1093782229 |
|---|---|
| Provider Name | Dr. G Paul Eleazer |
| First Address | Columbia, SC 29203-8003 |
| Second Address | Columbia, SC 29203-6808 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/03/2006 |
| Last Update Date | 09/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 129747 | (05) | SC |
| B92030 | (02) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.