Provider Demographics
NPI:1285692319
Name:CHRISTIAN, ELIZABETH STELLING (MD)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:STELLING
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:125 DOUGHTY STREET
Mailing Address - Street 2:SUITE 500
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29403
Mailing Address - Country:US
Mailing Address - Phone:843-577-2276
Mailing Address - Fax:843-723-3324
Practice Address - Street 1:125 DOUGHTY STREET
Practice Address - Street 2:SUITE 500
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29403
Practice Address - Country:US
Practice Address - Phone:843-577-2276
Practice Address - Fax:843-723-3324
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC13480207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC134802Medicaid
SCP00365923OtherRAILROAD MEDICARE
SCD176738603Medicare PIN
SC5880910001Medicare NSC
SCP00365923OtherRAILROAD MEDICARE