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Mr. David Michael Ellison, MD
Hematology & Oncology Physician in Charleston, South Carolina
NPI 1740235928

David Michael Ellison is a Hematology & Oncology Physician based in Charlotte, SC and is specialized in Hematology & Oncology. David Michael Ellison practices in Charleston, SC and has the professional credentials of MD. The NPI Number for David Michael Ellison is 1740235928 and holds a License No. 14902 (South Carolina).

The current practice location address for David Michael Ellison is 2085 Henry Tecklenburg Dr, Charleston, SC and can be reached out via phone at 843-577-6957 and via fax at 843-577-6523.

Location: 2085 Henry Tecklenburg Dr, Charleston, SC, 28275-1874
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Provider Profile Details
NPI Number
1740235928
Provider Name
David Michael Ellison
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2085 Henry Tecklenburg Dr, Charleston, SC, 28275-1874
Phone Number
843-577-6957
Fax Number
843-577-6523
Provider Enumeration Date
05/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00365928 01 SC RAILROAD MEDICARE
TL3110 05 SC
institution
Provider Business Practice Location Address Details
Address
2085 Henry Tecklenburg Dr
City
State
Zip
29414-7710
Phone Number
843-577-6957
Fax Number
843-577-6523
person
Provider Business Mailing Address Details
Address
2085 Henry Tecklenburg Dr
City
State
Zip
29414-7710
Phone Number
843-577-6957
Fax Number
843-577-6523
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
14902 (South Carolina)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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