Individual
DR. ELIZABETH JAYNE MOFFATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 936-8146
(803) 936-8916
Mailing address
PO BOX 2375, WEST COLUMBIA, SC 29171-2375
(803) 936-8146
(803) 936-8916
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
19801
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
19801
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q00158
—
SC
Enumeration date
04/04/2006
Last updated
03/02/2016
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