Individual
ELLEN CARRIE RIEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-4032
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
200300874
NC
207ZF0201X
Forensic Pathology Physician
31454
SC
207ZP0101X
Anatomic Pathology Physician
200300874
NC
207ZP0101X
Anatomic Pathology Physician
Primary
31454
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10071020
—
VA
01
—
1353E
BCBS
—
05
—
2007071000
—
WV
01
—
7160647
AETNA
—
01
—
804046
PARTNERS
—
05
—
891353E
—
NC
01
—
D2077
MEDCOST
—
05
—
Q00875
—
SC
Enumeration date
11/30/2005
Last updated
11/12/2020
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