Individual
MRS. ELIZABETH ANN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
304 ASHBY PARK LN, GREENVILLE, SC 29607-6903
(864) 286-9050
(864) 286-6885
Mailing address
PO BOX 25039, GREENVILLE, SC 29616-0039
(864) 286-9050
(864) 286-6885
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FQC029
—
SC
Enumeration date
11/02/2006
Last updated
07/14/2015
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