Individual
KATHIE DIANE ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 SULPHUR SPRINGS RD, GREENVILLE, SC 29617-1621
(800) 375-5495
(800) 564-5952
Mailing address
4 WOODVIEW CT, TAYLORS, SC 29687-4508
Taxonomy
Speciality
Code
Description
License number
State
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
Primary
4212
SC
363L00000X
Nurse Practitioner
APN.4212
SC
Other
Enumeration date
01/07/2011
Last updated
08/02/2021
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