Individual
DR. ROBERT LAFITTE ELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 DOCTORS DR, GREENVILLE, SC 29605-4266
(864) 572-7001
(864) 412-0645
Mailing address
1 DOCTORS DR, GREENVILLE, SC 29605-4266
(864) 572-7001
(864) 412-0645
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
39005
SC
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
39005
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390053
—
SC
Enumeration date
03/27/2006
Last updated
07/14/2021
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