Provider Demographics
NPI:1073116984
Name:GREENWOOD, ELIZABETH WILLIAMS (FNP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:WILLIAMS
Last Name:GREENWOOD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25334 BETHEL RD
Mailing Address - Street 2:
Mailing Address - City:ELKMONT
Mailing Address - State:AL
Mailing Address - Zip Code:35620-3602
Mailing Address - Country:US
Mailing Address - Phone:256-361-6247
Mailing Address - Fax:
Practice Address - Street 1:114 CANAL ST STE 503
Practice Address - Street 2:
Practice Address - City:POOLER
Practice Address - State:GA
Practice Address - Zip Code:31322-4261
Practice Address - Country:US
Practice Address - Phone:912-450-6300
Practice Address - Fax:912-450-6303
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-21
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGAA-NP002846363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily