Individual
DR. FREDERICK JUDSON MCELVEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 MEDICAL PARK RD, SUITE 506, COLUMBIA, SC 29203-6808
(803) 540-1000
(803) 540-1075
Mailing address
2 MEDICAL PARK RD, SUITE 502, COLUMBIA, SC 29203-6808
(803) 540-1000
(803) 540-1075
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5705
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0301242
CAROLINA CARE PLAN
SC
05
—
057057
—
SC
05
—
PA1426
—
SC
Enumeration date
03/09/2006
Last updated
03/01/2016
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