| Doctor Name: | DR. ELISABETH ROSANNE DIEHL |
| NPI Number: | 1225194202 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 00527 |
| Business Practice Address: | 600 N Highway 25 Travelers Rest, SC - 296908208 |
| Business Phone Number: | 8648346652 |
| Business Fax Number: | 8648346654 |
| Mailing Address: | Po Box 460, ZIRCONIA |
| State: | NC |
| Postal Code: | 287900460 |
| Phone Number: | 8649153212 |
| Fax Number: | |
| NPI Enumeration Date: | 12/28/2006 |
| NPI Last Update Date: | 01/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 00527 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |