Tyson, Elizabeth Streett

Tyson, Elizabeth Streett is an individual health care provider with primary practice located at 20 Medical Ridge Dr , Greenville SC 29605-4267. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tyson, Elizabeth Streett can be contacted via phone (864) 220-7270.

Contact Information

Primary practice address
20 Medical Ridge Dr Greenville SC 29605-4267
Phone: (864) 220-7270
Fax: (864) 241-9211
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 30313 South Carolina

Profile Details

NPI number 1295814762
LBN Legal business name Tyson, Elizabeth Streett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Jun 15th, 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 1295814762 NPPES
South Carolina MEDICAID 303139
South Carolina Other 576007863102

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