Elisabeth Rosanne Diehl, D.O.

Individual provider Active NPI Internal Medicine Physician · Travelers Rest, SC

NPI 1225194202 · NPPES record last updated Oct 24, 2016

Key facts

NPI
1225194202
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
97-00530 (NC)
Practice address
600 N Highway 25
Travelers Rest, SC 29690-8208
Phone
(864) 834-6652
Fax
(864) 834-6654
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
97-00530NCMDInternal Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 97-00530 NC Yes

Addresses

Primary practice location

600 N Highway 25
Travelers Rest, SC 29690-8208

Mailing address

PO Box 460
5576 Greenville Hwy 460
Zirconia, NC 28790-0460
Phone (864) 915-3212

Other names

  • Dr. E. Rosanne Diehl Professional name

Other providers in Travelers Rest, SC

All providers in Travelers Rest, SC · Internal Medicine Physician in South Carolina

Sources for this page

Verify at the official NPI Registry.