Individual
SHANNON ELISABETH IRIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2 MEDICAL PARK RD STE 501, COLUMBIA, SC 29203-6839
(803) 540-1000
(803) 540-1011
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO034666
DC
207RR0500X
Rheumatology Physician
Primary
82202
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
822024
—
SC
Enumeration date
05/05/2014
Last updated
12/17/2025
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