Provider Demographics
NPI:1992739023
Name:SLOAN, HELEN ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:ELIZABETH
Last Name:SLOAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 RADCLIFFE ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29403-6146
Mailing Address - Country:US
Mailing Address - Phone:843-723-4328
Mailing Address - Fax:843-722-8303
Practice Address - Street 1:38 RADCLIFFE ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29403-6146
Practice Address - Country:US
Practice Address - Phone:843-723-4328
Practice Address - Fax:843-722-8303
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC9366208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPA3530Medicaid
SCPA3530Medicaid
SC2281Medicare ID - Type Unspecified