Healthcare Provider Details
I. General information
NPI: 1548883275
Provider Name (Legal Business Name): ELIZABETH DARBY WINTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/28/2020
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1850 LAUREL ST STE A
COLUMBIA SC
29201-2627
US
IV. Provider business mailing address
300 E MCBEE AVE FL 4
GREENVILLE SC
29601-2842
US
V. Phone/Fax
- Phone: 803-376-5982
- Fax: 803-376-5987
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 98091 |
| License Number State | SC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | V7682 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: