Individual
DR. ELIZABETH MARIA MELNYCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6650 RIVERS AVE, NORTH CHARLESTON, SC 29406-4809
(337) 991-9276
Mailing address
5750 JOHNSTON ST STE 205, LAFAYETTE, LA 70503-5345
(337) 991-9276
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
054752
CT
207Q00000X
Family Medicine Physician
Primary
198820
NY
207Q00000X
Family Medicine Physician
83834
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629263397
1316369895
CT
Enumeration date
09/06/2007
Last updated
10/07/2025
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