# CHARLESTON ENT ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHARLESTON ENT ASSOCIATES LLC
- **Other names:** Beaufort ENT and Allergy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093237117
- **Legal business name:** CHARLESTON ENT ASSOCIATES LLC
- **Authorized official:** EUGENE G BROWN MD (PRESIDENT)
- **Authorized official phone:** (843) 766-7103

## Contact information

- **Practice address:** 1231 RIBAUT RD, BEAUFORT, SC 29902-6147
- **Practice address phone:** (843) 525-6662
- **Mailing address:** 2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
- **Mailing address phone:** (843) 766-7103
- **Mailing address fax:** (843) 763-3834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/11/2017
- **Last updated:** 07/11/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP1728 | — | SC |