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Contact Information

LIZZIE S HANNIBAL, CDE
3000 SAINT MATTHEWS RD
ORANGEBURG, SC29118-1442
 Phone: 803-395-2200
 Fax: 803-395-2237
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for LIZZIE S HANNIBAL · (Female)

NPI Number 1437556875
Status Active
Credentials CDE
Entity Individual
Enumeration date 12/01/2014
Last updated 01/21/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 64789
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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