Individual
MR. DAVID MICHAEL ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2085 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7710
(843) 577-6957
(843) 577-6523
Mailing address
PO BOX 751874, CHARLOTTE, NC 28275-1874
(843) 402-5200
(843) 402-5296
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
14902
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00365928
RAILROAD MEDICARE
SC
05
—
TL3110
—
SC
Enumeration date
05/24/2006
Last updated
09/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us