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NPI Code Detail

MEDICARE: ELIZABETH POTEAT

MEDICARE: ELIZABETH POTEAT
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
1183500000XPharmacist9293SC

General Provider Information

NPI Number : 1497003420
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH POTEAT
Provider Business Mailing Address
First Line : 1888 BOILING SPRINGS RD
Second Line :
City : BOILING SPRINGS
State : SC
Zip : 29316-5124
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1888 BOILING SPRINGS RD
Second Line :
City : BOILING SPRINGS
State : SC
Zip : 29316-5124
Country : US
Telephone Number : 864-599-0920
Fax Number : 864-599-5643
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2012
Last Update Date : 08/23/2012

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Directions to “ ELIZABETH POTEAT ” Practice Location

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