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MS. ELIZABETH HARRISON CONYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
2062 WHISKEY RD, AIKEN, SC 29803-6183
(803) 648-2315
Mailing address
116 ILEX LN, AIKEN, SC 29803-8227
(903) 245-5353

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002475
IA
363A00000X
Physician Assistant
Primary
3964
SC
363A00000X
Physician Assistant
PA1654
KY
363AM0700X
Medical Physician Assistant
10439
GA
363AM0700X
Medical Physician Assistant
Primary
3964
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4862PA
SC
01
K020390
MEDICARE
KY
01
P01352419
RR MEDICARE
IA
Enumeration date
07/17/2006
Last updated
04/06/2026
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