| Elizabeth Harleston, MD | |
|
40 Pinnacle Pkwy, Suite 212, Elgin, SC 29045-8390 | |
| (803) 424-5161 | |
| (803) 424-5795 |
| Full Name | Elizabeth Harleston |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 40 Pinnacle Pkwy, Elgin, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194089789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | LL34758 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | MD34758 (South Carolina) | Primary |
| Entity Name | Mcleod Regional Medical Center Of The Pee Dee, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154371433 PECOS PAC ID: 7416851852 Enrollment ID: O20031126000251 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Harleston, MD 40 Pinnacle Pkwy, Suite 212, Elgin, SC 29045-8390 Ph: (803) 424-5161 | Elizabeth Harleston, MD 40 Pinnacle Pkwy, Suite 212, Elgin, SC 29045-8390 Ph: (803) 424-5161 |
Beena Kovoor Varughese, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 40 Pinnacle Pkwy, Suite 212, Elgin, SC 29045 Phone: 803-424-5161 Fax: 803-424-5795 | |
James F Martin Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 566 Spears Creek Church Rd, Suite 102, Elgin, SC 29045 Phone: 803-788-6201 |