Individual
ELIZABETH JANE EGGEBRECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2715 COLONIAL DR STE 100, COLUMBIA, SC 29203-6818
(803) 898-4800
Mailing address
414 SHORELINE PKWY, TEGA CAY, SC 29708-8571
(704) 609-5574
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
21478
SC
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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