Healthcare Provider Details

I. General information

NPI: 1881687440
Provider Name (Legal Business Name): ELIZABETH ALISON LEBEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH A PATRICK MD

II. Dates (important events)

Enumeration Date: 08/29/2005
Last Update Date: 07/18/2023
Certification Date: 07/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 TAYLOR ST STE 8A
COLUMBIA SC
29201-2955
US

IV. Provider business mailing address

300 E MCBEE AVE FL 4
GREENVILLE SC
29601-2842
US

V. Phone/Fax

Practice location:
  • Phone: 803-292-2955
  • Fax: 803-929-2979
Mailing address:
  • Phone: 864-522-8603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number22917
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number22917
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: