Provider Demographics
NPI:1407199425
Name:LIGGETT, ELIZABETH COLLINS (NP)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:COLLINS
Last Name:LIGGETT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 OKATIE CENTER BLVD S
Mailing Address - Street 2:STE 210
Mailing Address - City:OKATIE
Mailing Address - State:SC
Mailing Address - Zip Code:29909-7511
Mailing Address - Country:US
Mailing Address - Phone:843-705-0840
Mailing Address - Fax:
Practice Address - Street 1:40 OKATIE CENTER BLVD S
Practice Address - Street 2:210
Practice Address - City:OKATIE
Practice Address - State:SC
Practice Address - Zip Code:29909
Practice Address - Country:US
Practice Address - Phone:843-705-0840
Practice Address - Fax:843-705-0890
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-27
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC23385363LA2200X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty