Elliott, Terry Lynn

Elliott, Terry Lynn is an individual health care provider with primary practice located at 1 Pinckney Blvd , Beaufort SC 29902-6122. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Elliott, Terry Lynn can be contacted via phone (843) 770-0444.

Contact Information

Primary practice address
1 Pinckney Blvd Beaufort SC 29902-6122
Phone: (843) 770-0444
Fax: (843) 770-0808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11681 West Virginia
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 32329 South Carolina

Profile Details

NPI number 1457352643
LBN Legal business name Elliott, Terry Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Mar 10th, 2016 - about 8 years ago

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 1457352643 NPPES
West Virginia MEDICAID 0056953000

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