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NPI Code Detail

MEDICARE: DR. ELLIOT SETH STOLERMAN M.D.

MEDICARE: DR. ELLIOT SETH STOLERMAN 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
1207R00000XInternal Medicine Physician56369GA
2207SG0201XClinical Genetics (M.D.) Physician214201MA
3207SG0201XClinical Genetics (M.D.) Physician36225SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457414161
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELLIOT SETH STOLERMAN M.D.
Provider Business Mailing Address
First Line : 101 GREGOR MENDEL CIR
Second Line :
City : GREENWOOD
State : SC
Zip : 29646-2316
Country : US
Telephone Number : 864-941-8100
Fax Number : 864-941-8114
Provider Business Practice Location Address
First Line : 3520 W MONTAGUE AVE STE 104
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29418-6083
Country : US
Telephone Number : 843-746-1001
Fax Number : 843-735-5097
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2006
Last Update Date : 09/13/2024

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1669463220 — DR. RICHARD J SCHROER MD
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1598756850 — DR. SARA S CATHEY MD
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1104013663 — GREENWOOD GENETICS CENTER, INC.
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1326809013 — JONATHAN PLOEGER MS
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1093524944 — MARGARET WILKES KEATING MS, LCGC
Practice Location Address:
3520 W MONTAGUE AVE STE 104
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29418-6083
Practice Phone: 843-746-1001
Practice Fax: 843-735-5097

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