DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JUSTIN DANIEL ELLETT, MD, PHD

Active Sole Proprietor

DR. JUSTIN DANIEL ELLETT, MD, PHD is a Urology healthcare provider located in N CHARLESTON, South Carolina. NPI 1275827248 is currently active in the NPPES registry. Verify at CMS.

Urology · N CHARLESTON, SC

Registration Details

NPI Number
1275827248
Provider Type
Individual
Gender
Male
NPI Issued
Jun 7, 2011 (15.148468418042 yrs)
Last Updated
Feb 17, 2017
License
33598 (SC)
Sole Proprietor
Yes

Practice Information

Address
2687 LAKE PARK DRIVE
N CHARLESTON, SC, 29406
Browse SC providers · Browse ZIP 29406
Phone
8435721010
Fax
8435691719
Primary Specialty
Urology
208800000X

Other Urology Providers in N CHARLESTON, SC

Name Credential NPI
WILLIAM H HOLL MD 1972564318
BENJAMIN K MCINNES MD 1346200763
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.