Individual
RACHEL DAWN ELLYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9565 HIGHWAY 78 BLDG 200, LADSON, SC 29456-4118
(843) 553-2477
(843) 553-2478
Mailing address
9565 HIGHWAY 78 BLDG 200, LADSON, SC 29456-4118
(843) 553-2477
(843) 553-2478
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
52790
SC
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
52790
SC
Other
Enumeration date
06/19/2018
Last updated
03/06/2025
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