Individual
ELIZABETH MARIE MANNION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 GROVE RD FL 1, GREENVILLE, SC 29605-4210
(864) 455-7899
(864) 455-5474
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
52312
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
523124
—
SC
01
—
SCC879
MEDICARE
SC
Enumeration date
04/23/2014
Last updated
06/20/2022
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