Provider Demographics
NPI:1235978925
Name:SCOTT, ELIZABETH LEIGH (PA)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:LEIGH
Last Name:SCOTT
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:300 E MCBEE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2842
Mailing Address - Country:US
Mailing Address - Phone:864-522-8603
Mailing Address - Fax:
Practice Address - Street 1:8 RICHLAND MEDICAL PARK DR STE 400
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-8004
Practice Address - Country:US
Practice Address - Phone:803-765-0871
Practice Address - Fax:803-765-9215
Is Sole Proprietor?:No
Enumeration Date:2024-05-22
Last Update Date:2024-08-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC5394363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant