Individual
DR. JONATHAN AVERI ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1609 CONSTITUTION BLVD, ROCK HILL, SC 29732-3047
(803) 366-8300
(803) 327-4805
Mailing address
1609 CONSTITUTION BLVD, ROCK HILL, SC 29732-3047
(803) 366-8300
(803) 327-4805
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
38115
SC
207RI0011X
Interventional Cardiology Physician
Primary
38115
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381152
—
SC
Enumeration date
12/12/2013
Last updated
07/31/2024
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