Individual
DR. ELLIOT SETH STOLERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3520 W MONTAGUE AVE STE 104, NORTH CHARLESTON, SC 29418-6083
(843) 746-1001
(843) 735-5097
Mailing address
101 GREGOR MENDEL CIR, GREENWOOD, SC 29646-2316
(864) 941-8100
(864) 941-8114
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56369
GA
207SG0201X
Clinical Genetics (M.D.) Physician
214201
MA
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
36225
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362253
—
SC
Enumeration date
12/18/2006
Last updated
09/13/2024
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