Connelly, Elizabeth M.

Connelly, Elizabeth M. is an individual health care provider with primary practice located at 394 Singleton Ridge Road , Conway SC 29526-9150. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Connelly, Elizabeth M. can be contacted via phone (843) 347-8050.

Contact Information

Primary practice address
394 Singleton Ridge Road Conway SC 29526-9150
Fax: (843) 347-8049
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 22362 South Carolina

Profile Details

NPI number 1356436968
LBN Legal business name Connelly, Elizabeth M.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jan 19th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356436968 NPPES
South Carolina MEDICAID NP7449

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