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Organization
CHARLESTON ENT ASSOCIATES LLC
Active
Organization
CHARLESTON ENT ASSOCIATES LLC
Active
Parent organization
CHARLESTON ENT ASSOCIATES LLC
Other names
Beaufort ENT and Allergy
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLESTON ENT ASSOCIATES LLC
Authorized official
EUGENE G BROWN MD (PRESIDENT)
(843) 766-7103
Entity
Organization
Contact information
Practice address
1231 RIBAUT RD, BEAUFORT, SC 29902-6147
(843) 525-6662
Mailing address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(843) 766-7103
(843) 763-3834
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
NULL
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1728
—
SC
Enumeration date
07/11/2017
Last updated
07/11/2017
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