Wofford, Elizabeth Derrick

Wofford, Elizabeth Derrick is an individual health care provider with primary practice located at 2435 Forest Dr C/O Providence Hospital, Columbia SC 29204-2026. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Wofford, Elizabeth Derrick can be contacted via phone (803) 256-5336.

Contact Information

Primary practice address
2435 Forest Dr C/O Providence Hospital Columbia SC 29204-2026
Phone: (803) 256-5336
Fax: (803) 256-5454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 14693 South Carolina

Profile Details

NPI number 1801868609
LBN Legal business name Wofford, Elizabeth Derrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Feb 29th, 2008 - about 16 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 1801868609 NPPES
South Carolina MEDICAID 146933

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