Individual
ELIUD ISAI PABON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 HIGHWAY 9 E, LITTLE RIVER, SC 29566-7833
(843) 390-8304
Mailing address
473 CARNABY LOOP, MYRTLE BEACH, SC 29579-3361
(787) 207-2414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11700
GA
207R00000X
Internal Medicine Physician
Primary
90395
SC
390200000X
Student in an Organized Health Care Education/Training Program
15060-I
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2018
Last updated
08/29/2023
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