MEDICARE: ELIZABETH RHODES MCBRIDE ABERNATHY

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	171100000X	Acupuncturist	208	SC

General Provider Information

NPI Number	:	1922566629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH RHODES MCBRIDE ABERNATHY

Provider Business Mailing Address
First Line	:	711 SAINT ANDREWS BLVD STE A
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-7196
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	711 SAINT ANDREWS BLVD STE A
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-7196
Country	:	US
Telephone Number	:	843-937-6890
Fax Number	:

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

Provider Enumeration Date	:	03/12/2019
Last Update Date	:	03/12/2019

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