JOHN CHARLES ELLYN

CHARLESTON, SC
NPI1952394330
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: SC  11024)
Enumeration Date2005-08-31
Last Update Date2013-09-26
Business Address
-- JOHN CHARLES ELLYN MD
31 SMITH ST
CHARLESTON, SC 29401-1720
Phone number: 843-577-6506
Mailing Address
-- JOHN CHARLES ELLYN MD
31 SMITH ST SUITE C
CHARLESTON, SC 29401-1720
Phone number: 843-577-6506
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