Individual
ELENA VICIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-7100
(864) 725-7101
Mailing address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4111
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
028636
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286363
—
SC
Enumeration date
08/11/2006
Last updated
03/17/2014
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