Individual
ELIZABETH A SANDIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
124 WREN ST, BARNWELL, SC 29812-1527
(803) 259-5762
(803) 259-3250
Mailing address
86 WREN ST, BARNWELL, SC 29812-1529
(803) 259-5762
(803) 259-3250
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
25318
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25318
MEDICAL LICENSE
SC
05
—
MW0317
—
SC
01
—
Q78652
MEDICARE
SC
Enumeration date
10/14/2015
Last updated
01/11/2024
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