Individual
DR. EDWARD L MCNELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1849 SAVAGE RD, CHARLESTON, SC 29407-4726
(843) 766-7103
Mailing address
1849 SAVAGE RD, CHARLESTON, SC 29407-4726
(843) 766-7103
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
16246
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162460
—
SC
Enumeration date
07/07/2005
Last updated
10/09/2007
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