MEDICARE: DR. ELIZABETH CHRISTINE ANISIS D.O.

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	207Q00000X	Family Medicine Physician	83763	SC
2	207Q00000X	Family Medicine Physician	267784	NY

General Provider Information

NPI Number	:	1851687016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH CHRISTINE ANISIS D.O.

Provider Business Mailing Address
First Line	:	PO BOX 751649
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28275-1649
Country	:	US
Telephone Number	:	888-472-0043
Fax Number	:	843-724-2440

Provider Business Practice Location Address
First Line	:	4975 LACROSS RD STE 110
Second Line	:
City	:	N CHARLESTON
State	:	SC
Zip	:	29406-6531
Country	:	US
Telephone Number	:	843-266-3561
Fax Number	:	843-266-3568

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

Provider Enumeration Date	:	06/24/2011
Last Update Date	:	09/30/2025

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