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Individual

ELIZABETH ANNE SHIRLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
175 PATEWOOD DR, GREENVILLE, SC 29615-3570
(864) 797-1403
(864) 455-3884
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34667
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
346673
SC
Enumeration date
05/24/2012
Last updated
09/09/2025
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