Individual
ELIZABETH MARY WALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35842
SC
208000000X
Pediatrics Physician
MD439393
PA
208000000X
Pediatrics Physician
MT190583
PA
Other
Enumeration date
10/26/2009
Last updated
10/14/2020
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