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Search › South Carolina › 207ZP0102X

Evelyna Kliassov

NPI 1689237844 · on the registry since 2019 · sole proprietor

Practice

Address
9330 Medical Plaza Dr
Charleston, SC 29406
Phone
(843) 847-4179
Fax
(843) 847-4296
Organisation at this address
Trident Medical Center, Llc
Trident Medical Center, Llc
Trident Medical Center, Llc
Palmetto Psych Services Llc
Trident Medical Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
107

Registry record

Primary taxonomy
207ZP0102X
207ZP0102X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-09-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina