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Individual

MS. ELIZABETH ANNE SORG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1268 S 4TH ST, HARTSVILLE, SC 29550-0703
(843) 332-3422
(843) 332-3985
Mailing address
PO BOX 1090, HARTSVILLE, SC 29551-1090
(843) 857-0111
(843) 857-0206

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18188
SC
367500000X
Certified Registered Nurse Anesthetist
18188
SC

Other

Enumeration date
02/27/2013
Last updated
10/23/2017
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