Individual
DR. ELIZABETH PAGE KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
840 W FLOYD BAKER BLVD, GAFFNEY, SC 29341-1845
(864) 489-3300
(864) 488-3744
Mailing address
PO BOX 277723, ATLANTA, GA 30384-7723
(864) 560-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
52075
SC
207Q00000X
Family Medicine Physician
LL52075
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SCK6816067
MEDICARE PIN
SC
01
—
SCK6816084
MEDICARE PIN
SC
01
—
SCK681J577
MEDICARE PIN
SC
Enumeration date
07/01/2018
Last updated
08/09/2021
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