Individual
MS. PAMELA LYNN ELIASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
96 JONATHAN LUCAS ST, CSB 903, CHARLESTON, SC 29425-8900
(843) 792-2123
(843) 792-0644
Mailing address
577 TRAVELERS BLVD, SUMMERVILLE, SC 29485-8220
(843) 875-2412
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
218
SC
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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