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

Elizabeth Mary Wallis, MD

Individual provider Pediatrics Physician · NPI 1023344025

Elizabeth Mary Wallis, MD is a Pediatrics Physician in Charleston, South Carolina. Licensed in Pennsylvania and South Carolina. Registered with an NPI since 2009.

Licensed in
PA, SC
In the registry since
2009
Specialties on file
3
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

171 Ashley Ave
Charleston, SC 29425-8908
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 35842 (SC)
Pediatrics Physician Taxonomy 208000000X · Licence MD439393 (PA)
Pediatrics Physician Taxonomy 208000000X · Licence MT190583 (PA)

Record details

NPI number1023344025
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 26, 2009
Last updated in NPPESOctober 14, 2020
Certification dateOctober 14, 2020

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