Individual
ELIZABETH LELAND VARDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
MCLEOD REGIONAL MEDICAL CENTER - EMERGENCY DEPARTMENT, 851 EAST CHEVES STREET, FLORENCE, SC 29506
(843) 777-5617
(843) 777-5572
Mailing address
555 E CHEVES ST, FLORENCE, SC 29506-2617
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4412
SC
Other
Enumeration date
06/09/2022
Last updated
06/10/2022
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