Provider Demographics
NPI:1205696994
Name:SEARS, ELIZABETH GRESHAM (DO)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:GRESHAM
Last Name:SEARS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:ELIZABETH
Other - Last Name:GRESHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:TRIDENT MEDICAL CENTER
Mailing Address - Street 2:9225 UNIVERSITY BLVD., STE. E2A
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:TRIDENT MEDICAL CENTER
Practice Address - Street 2:9225 UNIVERSITY BLVD., STE. E2A
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406
Practice Address - Country:US
Practice Address - Phone:842-998-1222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-20
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program