Individual
ELIZABETH DEENIHAN HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5325 APPIAN WAY, CHARLESTON, SC 29420-7234
(843) 552-0400
(843) 552-1618
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5879
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
570
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GP2913
MEDICAID GROUP
SC
05
—
NP0751
—
SC
Enumeration date
01/05/2006
Last updated
06/30/2021
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