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Organization

MSC & Z

Active
Other names
MSC & Z Aesthetics and Primary Care
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ELIZABETH MARIE DISHER PGC, APRN, FNP (OWNER)
(803) 840-4772
Entity
Organization

Contact information

Practice address
259 BROAD ST STE B, SUMTER, SC 29150-4146
(803) 774-3777
(803) 774-3780
Mailing address
259 BROAD ST STE B, SUMTER, SC 29150-4146
(803) 774-3777
(803) 774-3780

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
363LF0000X
Family Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner

Other

Enumeration date
05/19/2022
Last updated
06/10/2022
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