Individual
ELENA VLACHOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
169 ASHLEY AVENEUE ROOM 202 MAIN HOSPITAL, CHARLESTON, SC 29425-0001
(843) 792-4074
Mailing address
30989 PINE CONE DR, FARMINGTON HILLS, MI 48331-5901
(248) 914-1742
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL82250
SC
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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