Provider Demographics
NPI:1871230870
Name:MSC & Z
Entity Type:Organization
Organization Name:MSC & Z
Other - Org Name:MSC & Z AESTHETICS AND PRIMARY CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DISHER
Authorized Official - Suffix:
Authorized Official - Credentials:PGC, APRN, FNP
Authorized Official - Phone:803-840-4772
Mailing Address - Street 1:259 BROAD ST STE B
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-4146
Mailing Address - Country:US
Mailing Address - Phone:803-774-3777
Mailing Address - Fax:803-774-3780
Practice Address - Street 1:259 BROAD ST STE B
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-4146
Practice Address - Country:US
Practice Address - Phone:803-774-3777
Practice Address - Fax:803-774-3780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-19
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty