Individual
BENJAMIN ASHER ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
96 JONATHAN LUCAS CSB 210, MSC 323, CHARLESTON, SC 29425-8905
(843) 792-4607
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
LL92258
SC
Other
Enumeration date
06/21/2024
Last updated
06/10/2025
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