MEDICARE: MARION ELIETTE BETANCOURT ALBRECHT 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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	2013-01799	NC
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	74348	MN
3	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	31279	SC

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497906432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARION ELIETTE BETANCOURT ALBRECHT M.D.

Provider Business Mailing Address
First Line	:	901 WEST MEETING ST SUITE 205
Second Line	:
City	:	LANCASTER
State	:	SC
Zip	:	29720-6209
Country	:	US
Telephone Number	:	803-285-8080
Fax Number	:	803-285-9898

Provider Business Practice Location Address
First Line	:	901 WEST MEETING ST SUITE 205
Second Line	:
City	:	LANCASTER
State	:	SC
Zip	:	29720-6209
Country	:	US
Telephone Number	:	803-285-8080
Fax Number	:	803-285-9898

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

Provider Enumeration Date	:	10/08/2008
Last Update Date	:	10/29/2024

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Directions to “ MARION ELIETTE BETANCOURT ALBRECHT M.D.” Practice Location

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