Individual
ROBERT EDWARD ELVINGTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
606 BLACK RIVER RD STE 100, GEORGETOWN, SC 29440-3304
(843) 527-1800
(843) 527-6528
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
17469
SC
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
17469
SC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
17469
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174698
—
SC
01
—
9223
MEDICARE PTAN
SC
Enumeration date
07/28/2006
Last updated
03/18/2026
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