MEDICARE: DR. ELIZABETH MILLER KLINE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	23465	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00648634	OTHER	SC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	P00754418	OTHER	SC	RAILROAD MC ID- RSFPN

General Provider Information

NPI Number	:	1306817200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH MILLER KLINE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 751649
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28275-1649
Country	:	US
Telephone Number	:	843-789-1620
Fax Number	:	843-724-2440

Provider Business Practice Location Address
First Line	:	125 DOUGHTY ST STE 280
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29403-5727
Country	:	US
Telephone Number	:	843-720-8317
Fax Number	:	843-720-8319

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	12/09/2024

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Directions to “ DR. ELIZABETH MILLER KLINE M.D.” Practice Location

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