Provider Demographics
NPI:1356513550
Name:WELBER, CLAUDIA VIVOT (MD)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:VIVOT
Last Name:WELBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 CALHOUN ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29401-1313
Mailing Address - Country:US
Mailing Address - Phone:843-534-0500
Mailing Address - Fax:843-534-0086
Practice Address - Street 1:217 CALHOUN ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29401-1313
Practice Address - Country:US
Practice Address - Phone:843-534-0500
Practice Address - Fax:843-534-0086
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMD 21653174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist