JUSTIN DANIEL ELLETT

N CHARLESTON, SC
NPI1275827248
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208800000X Urology
(Licence: SC  33598)
Enumeration Date2011-06-07
Last Update Date2017-02-17
Business Address
Dr. JUSTIN DANIEL ELLETT MD, PhD
2687 LAKE PARK DRIVE
N CHARLESTON, SC 29406
Phone number: 843-572-1010
Mailing Address
Dr. JUSTIN DANIEL ELLETT MD, PhD
641 SAINT ANDREWS BLVD
CHARLESTON, SC 29407-7165
Phone number: 843-766-4070