Elliott, Laurie A

Elliott, Laurie A is an individual health care provider with primary practice located at 3531 Mary Ader Ave Suite C, Charleston SC 29414-5896. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Elliott, Laurie A can be contacted via phone (843) 556-0608.

Contact Information

Primary practice address
3531 Mary Ader Ave Suite C Charleston SC 29414-5896
Fax: (843) 763-3997
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 24981 South Carolina

Profile Details

NPI number 1174500623
LBN Legal business name Elliott, Laurie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated May 3rd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174500623 NPPES
South Carolina MEDICAID 249813

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