Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 52580 | SC |
N | 111NI0900X | Internist | 52580 | SC |
Y | 207RI0200X | Infectious Disease | 52580 | SC |
NPI | 1083623805 |
---|---|
Provider Name | Elizabeth Louise Abell |
First Address | Greenville, SC 29615-4536 |
Second Address | Greenville, SC 29605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 26/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H03450 | (02) |