Individual
EVELYNA GEORGE KLIASSOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9330 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9104
(843) 847-4179
(843) 847-4296
Mailing address
PO BOX 741087, ATLANTA, GA 30374-1087
(843) 847-4179
(843) 847-4296
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
92942
SC
Other
Enumeration date
04/15/2019
Last updated
09/07/2024
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