Eleazer, G Paul

Eleazer, G Paul is an individual health care provider with primary practice located at 2 Medical Park Rd Suite 502, Columbia SC 29203-6808. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Eleazer, G Paul can be contacted via phone (803) 540-1000.

Contact Information

Primary practice address
2 Medical Park Rd Suite 502 Columbia SC 29203-6808
Phone: (803) 540-1000
Fax: (803) 255-3451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 12974 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 12974 South Carolina

Profile Details

NPI number 1093782229
LBN Legal business name Eleazer, G Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Nov 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093782229 NPPES
South Carolina MEDICAID 129747

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