Elizabeth Streett Tyson
MD | Pediatrics | Female
Elizabeth Streett Tyson, MD is a Greenville, South Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Elizabeth Streett Tyson is
20 Medical Ridge Dr, Greenville, South Carolina - 29605-4267. She can be contacted on phone at
864-220-7270 and fax number 864-241-9211.
Elizabeth Streett Tyson is a sole proprietor of her business.
NPI number (Unique professional ID) for Elizabeth Streett Tyson is
1295814762 which was assigned by NPPES on 03 Nov, 2006 and it was last updated on 15 Jun, 2021.
Elizabeth Streett Tyson license number is
30313 for Pediatrics (208000000X) in South Carolina.
Elizabeth Streett Tyson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Elizabeth Streett Tyson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Elizabeth Streett Tyson |
|---|
| Credential : | MD |
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| Gender : | Female |
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Business Address:
Elizabeth Streett Tyson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 20 Medical Ridge Dr
Greenville, SC, 29605-4267
United States |
|---|
| Phone Number : | 864-220-7270 |
|---|
| Fax Number : | 864-241-9211 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1295814762 |
|---|
| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Nov, 2006 |
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| Last Updated On : | 15 Jun, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elizabeth Streett Tyson are as mentioned. Primary taxonomy code for Elizabeth Streett Tyson, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 30313 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Elizabeth Streett Tyson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 576007863102 | Other | SC | BCBS |
| 303139 | MEDICAID | SC | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | etyson11698@direct.ghs.myhfn.org
| No affiliation | DIRECT
Direct
| OTHER
Other
etyson11698@direct.ghs.myhfn.org | 20 MEDICAL RIDGE DR,
GREENVILLE, SC, 29605-4267
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 300 E Mcbee Ave Fl 4
Greenville, SC, 29601-2842
United States |
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| Phone Number : | 864-522-8603 |
|---|
Business Location:
Patients can refer following map for directions to
Elizabeth Streett Tyson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.