Individual
ELENA K. SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
102 ROCKCREEK BLVD, GREENWOOD, SC 29649-8915
(864) 725-5020
(864) 725-5615
Mailing address
102 ROCKCREEK BLVD, GREENWOOD, SC 29649-8915
(864) 725-5020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2009-00368
NC
207Q00000X
Family Medicine Physician
Primary
21160
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L31801
—
SC
Enumeration date
07/11/2006
Last updated
12/28/2021
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