MEDICARE: DR. ELIZABETH L.C. MCCORD-DUNCAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	27682	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942261557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH L.C. MCCORD-DUNCAN M.D.

Provider Business Mailing Address
First Line	:	810 W CHURCH ST
Second Line	:
City	:	GREENEVILLE
State	:	TN
Zip	:	37745-3285
Country	:	US
Telephone Number	:	423-787-1749
Fax Number	:

Provider Business Practice Location Address
First Line	:	810 CHURCH STREET
Second Line	:
City	:	GREENEVILLE
State	:	TN
Zip	:	37744
Country	:	US
Telephone Number	:	423-798-1749
Fax Number	:	423-798-1755

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	05/06/2015

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