Individual
LAURIE A ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3531 MARY ADER AVE, SUITE C, CHARLESTON, SC 29414-5896
(843) 556-0608
(843) 763-3997
Mailing address
3531 MARY ADER AVE, SUITE C, CHARLESTON, SC 29414-5896
(843) 556-0608
(843) 763-3997
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
24981
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
249813
—
SC
Enumeration date
12/27/2005
Last updated
05/03/2008
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