Dr Elizabeth Koutoufas Milliron, MD | |
2051 Charlie Hall Blvd, Charleston, SC 29414-5834 | |
(843) 573-3525 | |
(843) 253-2534 |
Full Name | Dr Elizabeth Koutoufas Milliron |
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Gender | Female |
Speciality | Pediatrics |
Location | 2051 Charlie Hall Blvd, Charleston, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760630362 | NPI | - | NPPES |
0050076 | Medicaid | OH | |
350140 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2866626 (Ohio) | Secondary |
208000000X | Pediatrics | 35.097315 (Ohio) | Secondary |
208000000X | Pediatrics | 35014 (South Carolina) | Primary |
Entity Name | Coastal Pediatric Associates, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770700759 PECOS PAC ID: 8426464736 Enrollment ID: O20210311001646 |
Mailing Address | Practice Location Address |
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Dr Elizabeth Koutoufas Milliron, MD 2051 Charlie Hall Blvd, Charleston, SC 29414-5834 Ph: (843) 573-3525 | Dr Elizabeth Koutoufas Milliron, MD 2051 Charlie Hall Blvd, Charleston, SC 29414-5834 Ph: (843) 573-3525 |
Andrew M Atz, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. Savanna Gilhooly Dincman, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Jason Robert Buckley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Elizabeth Emrath Zivick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. Megan Elizabeth Redfern, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-876-0795 | |
Elizabeth Mary Wallis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. Caitlin Marie Stoll, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2244 Ashley Crossing Dr Unit 536, Charleston, SC 29414 Phone: 386-479-8265 |