Shannon Elisabeth Iriza
Internist Rheumatology
2 Medical Park Rd Ste 501
Columbia
, South Carolina 29203-6839
Shannon Elisabeth Iriza
Internist Rheumatology
2 Medical Park Rd Ste 501
Columbia
, South Carolina 29203-6839
(803) 296-7330
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About
Features
Specialties
- Internist
- Rheumatology
Languages spoken
- English
Location
First Address
- Shannon Elisabeth Iriza
- Po Box 743904
- Atlanta, GA
- Zip : 30374-3904
- Fax : (803) 296-7330
- Phone : (803) 296-7320
Second Address
- Shannon Elisabeth Iriza
- 2 Medical Park Rd Ste 501
- Columbia, SC
- Zip : 29203-6839
- Fax : (803) 540-1011
- Phone : (803) 540-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | DO034666 | DC |
| N | 111NI0900X | Internist | DO034666 | DC |
| Y | 207RR0500X | Rheumatology | 82202 | SC |
National Provider Identifier
| NPI | 1124438759 |
|---|---|
| Provider Name | Shannon Elisabeth Iriza |
| First Address | Atlanta, GA 30374-3904 |
| Second Address | Columbia, SC 29203-6839 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/05/2014 |
| Last Update Date | 29/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 822024 | (05) | 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.