Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 72213 | GA |
Y | 2080P0203X | Pediatric Critical Care Doctor | 40827 | SC |
NPI | 1023309374 |
---|---|
Provider Name | Elizabeth Emrath Zivick |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-1060 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2011 |
Last Update Date | 19/05/2021 |