Individual
ELIZABETH T NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 S KANAWHA ST STE 100, BECKLEY, WV 25801-6967
(304) 317-6095
(304) 317-6094
Mailing address
2401 S KANAWHA ST STE 100, BECKLEY, WV 25801-6967
(304) 317-6095
(304) 317-6094
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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