Individual
CHRISTINE ELIZABETH KULISH-SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2097 HENRY TECKLENBURG DR STE 312W, CHARLESTON, SC 29414-5744
(843) 789-1800
(843) 606-8036
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2013-01654
NC
207V00000X
Obstetrics & Gynecology Physician
Primary
83425
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83425
SC MEDICAL LICENSE
SC
Enumeration date
05/12/2009
Last updated
02/01/2021
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