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Individual

ELIZABETH T NELSON

Active
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Individual

ELIZABETH T NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23802
WV
208M00000X
Hospitalist Physician
TL30356
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000225644
UNISON
SC
01
2066855
FIRST CHOICE
SC
05
303567
SC
01
576008010013
BCBS
SC
Enumeration date
10/19/2007
Last updated
11/03/2023
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