| Doctor Name: | ELIZABETH J. REPEDE |
| NPI Number: | 1275596306 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 812 |
| Business Practice Address: | 7075 Harbor Ct Tega Cay, SC - 297088534 |
| Business Phone Number: | 8025170302 |
| Business Fax Number: | 8038023420 |
| Mailing Address: | 7075 Harbor Ct, TEGA CAY |
| State: | SC |
| Postal Code: | 297088534 |
| Phone Number: | 8025170302 |
| Fax Number: | 8038023420 |
| NPI Enumeration Date: | 04/10/2006 |
| NPI Last Update Date: | 05/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 812 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |