Individual
DR. ELLESSE BOIWKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1296 LONG GROVE DR, MOUNT PLEASANT, SC 29464-9462
(843) 388-6200
Mailing address
1296 LONG GROVE DR, MOUNT PLEASANT, SC 29464-9462
(843) 388-6200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1857
SC
Other
Enumeration date
05/02/2014
Last updated
02/16/2021
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