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NPI Code Detail

MEDICARE: ELIZABETH PERKINS MD

MEDICARE:   ELIZABETH  PERKINS  MD
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
12084P0800XPsychiatry Physician89056SC
22084P0800XPsychiatry Physician35.155978OH

General Provider Information

NPI Number : 1356704613
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH PERKINS MD
Provider Business Mailing Address
First Line : 2107 WAPPOO HALL RD
Second Line :
City : CHARLESTON
State : SC
Zip : 29412-2070
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 109 BEE ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29401-5703
Country : US
Telephone Number : 843-577-5011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2016
Last Update Date : 06/03/2026

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Directions to “ ELIZABETH PERKINS MD” Practice Location

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