King, Elizabeth Ann

King, Elizabeth Ann is an individual health care provider with primary practice located at 304 Ashby Park Ln , Greenville SC 29607-6903. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. King, Elizabeth Ann can be contacted via phone (864) 286-9050.

Contact Information

Primary practice address
304 Ashby Park Ln Greenville SC 29607-6903
Phone: (864) 286-9050
Fax: (864) 286-6885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3 South Carolina

Profile Details

NPI number 1487733309
LBN Legal business name King, Elizabeth Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Jul 14th, 2015 - about 11 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 1487733309 NPPES
South Carolina MEDICAID FQC029

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