Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 37010 | SC |
N | 207QS0010X | Family Doctor - Sports Medicine | 37010 | SC |
NPI | 1023421369 |
---|---|
Provider Name | Elizabeth Barton Winston |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2014 |
Last Update Date | 08/10/2019 |