Individual
DR. DIRK MICHAEL ELSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
260871
NY
207N00000X
Dermatology Physician
Primary
35527
SC
207N00000X
Dermatology Physician
MD033258E
PA
207ZD0900X
Dermatopathology (Pathology) Physician
260871
NY
207ZD0900X
Dermatopathology (Pathology) Physician
MD033258E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001894696
—
PA
Enumeration date
03/02/2006
Last updated
04/08/2015
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