Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 33398 | SC |
NPI | 1003093832 |
---|---|
Provider Name | Elizabeth Irene Majeski |
First Address | Skyland, NC 28776-2115 |
Second Address | Charleston, SC 29407-6982 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2008 |
Last Update Date | 16/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
AA71195238 | MEDICARE PTAN (01) | SC |