Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexis Noelle Vetack, MD

Individual provider Pediatrics Physician · NPI 1215861109

Alexis Noelle Vetack, MD is a Pediatrics Physician in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2026.

Licensed in
SC
In the registry since
2026
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

169 Ashley Ave Rm 202
Charleston, SC 29425-8905
Phone: (843) 792-0435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence LL97086 (SC)
Pediatrics Physician Taxonomy 208000000X · Licence LL97086 (SC)

Record details

NPI number1215861109
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2026
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

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