Provider Demographics
NPI:1326661976
Name:KYZER, ELIZABETH J (DO)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:J
Last Name:KYZER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:CROW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 EAST WOOD STREET
Mailing Address - Street 2:SUITE 300A
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303
Mailing Address - Country:US
Mailing Address - Phone:864-560-6012
Mailing Address - Fax:
Practice Address - Street 1:100 EAST WOOD STREET
Practice Address - Street 2:SUITE 300A
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303
Practice Address - Country:US
Practice Address - Phone:864-923-2643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-18
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program